Applications | Great Lakes Wellhead, Inc.

Applicant Full Name:

Home Address:

City:

State:

Zip code:

Number of years at this address:

Daytime phone:

Evening phone:

Mobile phone:

Driver's License (State/Number):

Who should be contacted if you are involved in an emergency:

Relationship to you:

Address:

City/State/ZIP:

Daytime phone:

Evening phone:

Job Position Applied For:

Full or Part Time:

Full
Part

Salary Desired:

Salary Desired Per:

Hourly
Weekly
Yearly

Who referred you to our company:

Do you have any friends or relatives who work here? If yes, Name:

Have you applied to our company previously:

If yes, when:

Are you at least 18 years old:

How will you get to work:

Are you willing to work any shift, including nights and weekends:

If no, please state any limitations

If applicable, are you available to work overtime

If you are offered employment, when would you be available to begin work

If hired, are you able to submit proof that you are legally eligible for employment in the United States?

Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?

What reasonable accommodation, if any, would you request?

Applicant's Skills

Applicant Employment History -Employer Name

Supervisor Name

Address

City/State/ZIP

Job Duties

Reason for Leaving

Dates of Employment (Month/Year)

Applicant Employment History -Employer Name

Supervisor Name

Address

City/State/ZIP

Job Duties

Reason for Leaving

Dates of Employment (Month/Year)

Applicant Employment History -Employer Name

Supervisor Name

Address

City/State/ZIP

Job Duties

Reason for Leaving

Dates of Employment (Month/Year)

College/University Name and Address

Applicant's Education and Training- Did you receive a degree?

High School/GED Name and Address

Did you receive a degree?

Other Training (graduate, technical, vocational)

Please indicate any current professional licenses or certifications that you hold

Awards, Honors, Special Achievements

Military Service

Military Service Branch

References - Name

Address

City/State/ZIP

Telephone

Relationship

References - Name

Address

City/State/ZIP

Telephone

Relationship

Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer

Resume upload

EMPLOYMENT APPLICATION

Please complete the entire application.

It is the policy of Great Lakes Wellhead, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability, or veteran status.
Applicant's Skills
- List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)
Applicant Employment History
- List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.
I authorize Great Lakes Wellhead, Inc. to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.
If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Officer, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Great Lakes Wellhead, Inc., except in a specific written contract of employment signed on behalf of the organization by its Officer, has the power to alter or vary the voluntary nature of the employment relationship/

Corporate Headquarters

1501 S Cass St Suite B
Traverse City, MI 49684

Phone: 1(888) 514-9100

Accredited By:

Corporate Headquarters

Accredited By: