EMPLOYMENT APPLICATION

* indicates a REQUIRED INFORMATION

Which Company are you applying for?

PERSONAL INFORMATION ( Incomplete information could disqualify you from further consideration.)

*Are you eligible to work in the U.S.?

YESNO

*Are you at least 18 years or older?

YESNO

*Have you ever served in the U.S. military?

YESNO

*Have you been convicted of a felony? (Convictions may not necessary disqualify you from employment)

YESNO

If yes, please explain:

All successful candidates are required to take a drug test within three days of accepting an offer.

*Please indicate that you understand and will comply with this requirement, should an offer be made:

Have you ever been terminated from employment or asked to resign by an employer?

If yes, please provide company names and details:

EMPLOYMENT DESIRED

YESNO



If you are currently employed, may we inquire of your present employer?

YESNO

REFERRAL SOURCE


How did you hear about us?

*Have you ever worked for this company before?

YESNO

Please explain:

*Do you know anyone who works for our company?

YESNO

If yes, who?

EDUCATION

EMPLOYMENT HISTORY


Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.







*Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?

YESNO

If yes, explain

REFERENCES

Give the names of three persons not related to you, whom you have known at least three (3) years.

Please read carefully before signing.

Diamondback is an equal opportunity employer. Diamondback does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Diamondback to hire me. If I am hired, I understand that either Diamondback or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Diamondback has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Diamondback true and complete information on this application. No requested information has been concealed. I authorize Diamondback to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.