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P.O. Box 1816, Vernal, UT 84078

435-789-2423 435-789-2423

Home
About Us
Services
- Rig Spec Sheet

Employment
Contact Us

Home
About Us
Services
- Rig Spec Sheet

Employment
Contact Us

435-789-2423 435-789-2423

APPLY TODAY

We welcome you to join our team of experts at IKON Energy Solutions Inc. We pride ourselves on employing team members who are dedicated to carrying out drilling services in the safest and most effective manner possible. We are looking for candidates who are knowledgeable about the industry and can be trusted to complete a variety of difficult projects in the right way. If you believe you have the skills and temperament necessary to be a member of the IKON Energy Solutions team, please fill out our application.

Contact Us

Check one:

CDL Driver License

Non-CDL Driver License

No Driver License

Today's Date:

Referred By:

Referred By:

Newspaper Ad

Workforce Ad

Radio

Other

If Other:

Have You Ever Been Employed By Ikon Energy Solutions Inc?

Yes

No

If Yes, list dates, department, and reason for termination:

GENERAL INFORMATION

GENERAL INFORMATION

First Name:

Middle Name:

Last Name:

Phone:

Present Address:

City:

State:

Zip:

How Long (Months):

List Addresses for Past 3 Years (36 Months Total):

List Addresses for Past 3 Years (36 Months Total):

1. Address:

City:

State:

Zip:

How Long (Months):

Blank Space

2. Address:

City:

State:

Zip:

How Long (Months):

Date of Birth:

Driver’s License Info:

Driver’s License Info:

Class :

A

B

C

D

State:

Expiration Date:

Endorsements:

Please list any safe driving awards you have received:

As required by Section 383.21 of the FMCSR's, I only possess the following motor vehicle license:

As required by Section 383.21 of the FMCSR's, I only possess the following motor vehicle license:

State:

Expiration Date:

EDUCATION AND SKILLS

EDUCATION AND SKILLS

Select Highest Grade Completed:

Select Highest Grade Completed:

First through Ninth Grade:

1

2

3

4

5

6

7

8

9

High School:

10

11

12

College:

1

2

3

4

Graduate School:

1

2

3

4

5

6

Type of School:

Type of School:

High School Name and City/State:

From Month/Year:

To Month/Year:

Did You Graduate?

Blank Space

College Name and City/State:

From Month/Year:

To Month/Year:

Did You Graduate?

Blank Space

Other Name and City/State:

From Month/Year:

To Month/Year:

Did You Graduate?

Blank Space

Specialized Training Name and City/State :

From Month/Year:

To Month/Year:

Did You Graduate?

CRIMINAL HISTORY

CRIMINAL HISTORY

Have you ever been arrested for, charged with, pleaded guilty to or convicted of a crime, including any misdemeanor or felony? Including any active or pending cases:

Yes

No

If Yes, fill up the details:

If Yes, please provide the details:

Date:

Felony/Misdemeanor:

Felony

Misdemeanor

Outcome:

Jail

Probation

Deferred Adjudication

Description:

Disclaimer:

Disclaimer: Answering yes to this question does not necessarily exclude you from employment. Due consideration is given to circumstances surrounding convictions, probation or deferred adjudication.

AFFIDAVIT OF GAP IN EMPLOYMENT

AFFIDAVIT OF GAP IN EMPLOYMENT

Driver Name:

Date of Gap in Employment:

Reason for Gap in Employment:

Unemployed without Compensation

Attending School

Self-Employed or Employed by Individual

Employed by

Other

If Attending School, Indicate School Name:

If Self-Employed or Employed by Individual, Indicate Individual's Name:

If Employed by, Employer Name:

Telephone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If Other, Indicate Reason:

Blank Space

Date of Gap in Employment:

Reason for Gap in Employment:

Unemployed without Compensation

Attending School

Self-Employed or Employed by Individual

Employed by

Other

If Attending School, Indicate School Name:

If Self-Employed or Employed by Individual, Indicate Individual's Name:

If Employed by, Employer Name:

Telephone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If Other, Indicate Reason:

By selecting this

By selecting this, I certify the facts included on this document are true and complete to the best of my knowledge and understand that if employed, misrepresentations or omission of facts on this application shall be grounds for dismissal.

DRIVER PAST RECORD

DRIVER PAST RECORD

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

Has any license, permit or privilege ever been suspended or revoked?

Yes

No

If Yes, Describe:

ACCIDENTS

ACCIDENTS

Please Complete All Questions If Applicable

Please Complete All Questions If Applicable

Have you been involved in an accident in the past 3 Years?

Yes

No

If Yes, please complete the Information below:

If Yes, please complete the Information below:

1. Date of Accident:

Location (City/State):

Fine (if any) $:

Describe the Accident:

No. of Injuries:

No. of Fatalities:

Was HazMat (other than fuel from tanks) released?

Yes

No

Type of Vehicle Operated:

Type Citation Issued (if any):

Blank Space

2. Date of Accident:

Location (City/State):

Fine (if any) $:

Describe the Accident:

No. of Injuries:

No. of Fatalities:

Was HazMat (other than fuel from tanks) released?

Yes

No

Type of Vehicle Operated:

Type Citation Issued (if any):

CITATIONS

CITATIONS

Have you received any citations in the past 3 years?

Yes

No

If Yes, please complete the Information below:

If Yes, please complete the Information below:

1. Date of Incident:

Location (City/State):

Fine (if any) $:

Describe the Incident:

Type Citation Issued (if any):

Blank Space

2. Date of Incident:

Location (City/State):

Fine (if any) $:

Describe the Incident:

Type Citation Issued (if any):

Blank Space

3. Date of Incident:

Location (City/State):

Fine (if any) $:

Describe the Incident:

Type Citation Issued (if any):

Blank Space

4. Date of Incident:

Location (City/State):

Fine (if any) $:

Describe the Incident:

Type Citation Issued (if any):

EMPLOYMENT INFORMATION

EMPLOYMENT INFORMATION

List all periods of employment and unemployment

List all periods of employment and unemployment, starting with the most recent, for the last 3 years employment history. If applying for CDL driver position, 7 years additional employment history will be needed totaling 10 years of previous employment history or to the extent of which the applicant has worked.

1. Employer Name:

Phone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

Blank Space

2. Employer Name:

Phone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

Blank Space

3. Employer Name:

Phone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

Blank Space

4. Employer Name:

Phone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

Blank Space

5. Employer Name:

Phone:

Fax:

Address:

Reason for Leaving:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

Blank Space

6. Employer Name:

Phone:

Fax:

Address:

City:

State:

Zip:

Position:

Supervisor's Name:

Employed From:

Employed To:

Ending Salary:

Reason for Leaving:

CDL Required?

Yes

No

Were you subject to the FMCSR's while employed?

Yes

No

Was the job designated as a safety sensitive function in any DOT regulated mode subject to alcohol & controlled substance testing required by 49 CFR Part 40?

Yes

No

If gap between employers, indicate reason:

Unemployed

Attending School

Self-Employed (attach 1099)

Other

If Other, Indicate Reason:

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Download the application PDF, fill it out, and email it back to us.

CONTACT US TODAY

Contact Us

Name:

Email:

Phone:

Message:

Thank you for contacting us.
We will get back to you as soon as possible.

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435-789-2423 | P.O. Box 1816, Vernal, UT 84078

Areas We Service: Utah and Colorado

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