Berry Oil Application for Employment

Applicant Information
 
Full Name: 										Date: 			                                                     
Address:  										     Apt. #			
	City:					       State:		            Zip:		
Phone: 	(         )				   Email Address: 							
Position Applying For: 						 	Date Available: 			
Are you a citizen of The United States?         Yes 	      No 	           If no, are you authorized to work in the U.S.? 		
Have you been employed for Berry Oil in the past?    Yes          No            If yes, when and where? 				
Have you ever been convicted of a felony?   Yes          No         	If yes, explain. 						
Education
School Level	Name and Location of School	No. of Years Attended	Did you Graduate?	Subjects Studied	
High School					
College					
Other					
Employment History
Current/Most Recent Employer
Company Name: 						                             Start Date: 		 End Date: 		
Address: 					 City: 			 State: 		 Zip:			
Job Title: 			  Name of Supervisor: 			 Phone: 	(         )			
May We Contact Your Supervisor?        Yes 	    No 	   Reason for Leaving: 							
Description of Duties: 																																											    
 Previous Employer
Company Name: 						                             Start Date: 		 End Date: 		
Address: 					 City: 			 State: 		 Zip:			
Job Title: 			  Name of Supervisor: 			 Phone: 	(         )			
May We Contact Your Supervisor?        Yes 	    No 	   Reason for Leaving: 							
Description of Duties: 																										
Previous Employer
Company Name: 						                             Start Date: 		 End Date: 		
Address: 					 City: 			 State: 		 Zip:			
Job Title: 			  Name of Supervisor: 			 Phone: 	(         )			
May We Contact Your Supervisor?        Yes 	    No 	   Reason for Leaving: 							
Description of Duties: 													 References
Name	Phone	Occupation	Years Known	

				
Other Qualifications
Example; Military Service, Licenses, Achievements…																									
Authorization
I hereby authorize COMPANY to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references.  I also hereby release from liability COMPANY and its representatives for obtaining and using such information to make employment decisions and all other persons or organizations for providing such information.

If I am employed, I acknowledge that there is no specified length of employment, and that this application does not constitute an agreement or contract for employment.  Accordingly, either COMPANY or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.  I understand that any employment offer would be contingent upon my production of documents verifying my eligibility to work in the United Stated as well as successful completion of a drug/alcohol test and a criminal history background check.  

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.  I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

If selected for employment are you willing to submit to a pre-employment drug screening test?   Yes          No 	

Signature: 							                             	Date: