Careers

Online Application

Position applying for

Personal Information

Last Name	First Name	Middle Initial
Address	City Prov	Postal Code
Home	Work	Cell
Email Address
Are you able to work in Canada?	Yes No

Transportation Information

Transportation?	Yes No	If yes, type of vehicle
Valid Licence?	Yes No	Licence Class

Previous Employment

Worked for StimSol Canada Previously?

Yes No

If so, supervisor name

First Employer:

Position	Company Name	Rig No.
Date:	From M/D/Y to M/D/Y
Employer Name		Employer Phone
Reason for leaving

Second Employer:

Position	Company Name	Rig No.
Date:	From M/D/Y to M/D/Y
Employer Name		Employer Phone
Reason for leaving

Third Employer:

Position	Company Name	Rig No.
Date:	From M/D/Y to M/D/Y
Employer Name		Employer Phone
Reason for leaving

Certificates

Drivers Licence	Certificate Number: Expiry Date:
Well Control	Certificate Number: Expiry Date:
First Line BOP	Certificate Number: Expiry Date:
First Aid	Certificate Number: Expiry Date:
Confined Space	Certificate Number: Expiry Date:
Loader Operation	Certificate Number: Expiry Date:
GODI	Certificate Number: Expiry Date:
H₂S Live	Certificate Number: Expiry Date:
T.D.G.	Certificate Number: Expiry Date:
Boiler	Certificate Number: Expiry Date:
W.H.M.I.S	Certificate Number: Expiry Date:
Fall Arrest	Certificate Number: Expiry Date:
Rig Rescue	Certificate Number: Expiry Date:
PST	Certificate Number: Expiry Date:
Hearing Test	Certificate Number: Expiry Date:
Any Other Certificates:

List any physical limitations or previous injuries that may affect your ability to perform the tasks of the job applied for:

NOTICE TO ALL APPLICANTS

I certify that the above information supplied by me is true and I understand any statement of fact may be ground for dismissal. I further understand that any offer of employment or continuance of employment be conditional upon passing a company medical and/or drug testing.

Note: This Company has an active Drug and Alcohol policy and employees will be tested.