Blac Frac Tanks Employment Application
Date of application
MM
/
DD
/
YYYY
Position Applying For?
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Personal Information
Name
Last, First, Middle
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Social Security Number
###-##-####
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Current Address
Street
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City
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State
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Zip
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How long at this address?
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Previous Address Information
List any previous addresses of residency for the past 3 years.
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Home Phone Number
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Work Phone Number
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Email Address
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Do you have a legal right to work in the United States?
Date of Birth
MM
/
DD
/
YYYY
Can you provide proof of age?
Have you worked for this company before?
If so, where did you work?
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Reason for leaving?
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Are you currently employed?
If not, how long since leaving last employment?
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Who referred you?
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Rate of pay expected
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