TSX : WRG | CAN $0.33 -0.03 ↓ -7.04% | at 12:11 ET on Apr 25, 2019

Stoneham

Stoneham Drilling Employment Application Form

Position Applying For

Last Name

First Name

Middle Name

Address

City

State

Zip Code

Home Phone

Cell Phone

Have You Ever:

Been interviewed by Stoneham?
If yes, Rig#
Date
Applied to Stoneham?
If yes, Rig#
Date
Been employed by Stoneham?
If yes, Rig#
Date

Employment Logistics
I Am 18 Or Older	I Am Entitled To Work In This Country
Are there any limitations that would prevent you from doing this job?	I am able to work away from home (i.e. out of town)
Were you referred by a current Stoneham employee?	Who referred you?
Additional Comments
Drivers Information
I Have Reliable Transportation	Valid Operators License	Class

Previous Employment Experience
Employer Name & Location	Employer Ph # Incl Area Code	Position Held	Reason for leaving	Size of Rig

From To

From To

From To

From To

Competency/Education
Highest Level Of Education	Rig Tech Level Completed	Date Completed

Industry Specific Training/Certifications
Certificate	Certificate #	Expiry Date
IWCF Well Control
IADC Well Control
1st/2nd Line Well Control
First Line BOP
T.D.G.
Boiler
HazCom
Safeland Training
Loader Operator
Standard First Aid and CPR
H₂S Alive
Fall Protection
Rig Rescue
Audiometric Hearing Test
Confined Space
Other

References
Employer Name & Location	Employer Ph # Incl Area Code	Reference Name	Reference Title

Attach Files
To attach your resume, cover letter and/or copies of current training certificates or tickets to your application, please select them from your computer using the provided fields. Allowable file types: text, PDF, DOCX, PPT Maximum file size: 5MB
Select File 1
Select File 2
Select File 3

Notice to All Applicants
Employment with Stoneham is employment at-will. This means that your employment may be terminated with or without cause and with or without notice at any time either by you or by Stoneham. Any misrepresentation or omission of facts on an application form constitutes grounds for discipline, up to and including discharge. All facts and references on your employment application are subject to verification. 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.

Notice to All Applicants

Employment with Stoneham is employment at-will. This means that your employment may be terminated with or without cause and with or without notice at any time either by you or by Stoneham.
Any misrepresentation or omission of facts on an application form constitutes grounds for discipline, up to and including discharge. All facts and references on your employment application are subject to verification.

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.