Employment Application

  • Basin Drilling, LP is an Equal Opportunity Employer

  • Full Name: (required)
  • Last 4 of Social Security #: (required)
  • Home Address: (required)
  • City: (required)
  • State: (required)
  • Zip Code: (required)
  • Home Phone#: (required)
  • Cell Phone#:

  • Emergency Contact: (required)
  • Emergency Phone#: (required)
  • Position(s) You Are Applying For: (required)
  • Years of Experience: (required)

  • How did you hear about the position? (If from a current Basin Drilling employee, who?)

  • Are you at least 18 years of age or older? (required)

  • Are you a United States Citizen? (required)

  • If not, can you furnish proof of legal right to work and remain in the US?

  • Education Achieved: (required)
  • Other Education:

  • Employment History

  • Begin with your most recent job. List each job separately.

  • Name of Employer: (required)
  • Start Date:
  • End Date:
  • Rate of Pay:
  • Name of Supervisor:
  • Supervisor Phone#:
  • Employer Address: (required)
  • City: (required)
  • State: (required)
  • Zip Code: (required)
  • Duties Performed: (required)
  • Reason for Leaving: (required)

  • Name of Employer:
  • Start Date:
  • End Date:
  • Rate of Pay:
  • Name of Supervisor:
  • Supervisor Phone#:
  • Employer Address:
  • City:
  • State:
  • Zip Code:
  • Duties Performed:
  • Reason for Leaving:

  • Name of Employer:
  • Start Date:
  • End Date:
  • Rate of Pay:
  • Name of Supervisor:
  • Supervisor Phone#:
  • Employer Address:
  • City:
  • State:
  • Zip Code:
  • Duties Performed:
  • Reason for Leaving:

  • READ THE FOLLOWING STATEMENT CAREFULLY PRIOR TO SIGNING THIS APPLICATION

    I hereby apply for employment with BASIN DRILLING, LP (hereinafter referred to as EMPLOYER). I specifically verify that all the information provided in the EMPLOYMENT APPLICATION is true, complete and correct.

    I understand and agree that the omission or misrepresentation of any fact in the EMPLOYMENT APPLICATION will be sufficient reason for EMPLOYER to deny me employment. I also understand and agree that should I become employed by EMPLOYER and it is later discovered that I have omitted or misrepresented any fact in this EMPLOYMENT APPLICATION, in any supplement thereto, or any other corporate record, EMPLOYER may immediately terminate my employment upon discovery of such omission or misrepresentation.

    I will abide by the Policies and Procedures of this EMPLOYER. Failure to abide by these rules could result in immediate termination.


  • By typing your FULL NAME you are signing this application and agreeing to the above statements.
  • Signature:
  • Today's Date: