Job Application

ALL APPLICANTS
Negley’s Well Drilling Inc. is an Equal Opportunity Employer. Negley’s does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
I affirm that the information provided on this application or in connection with the processing of this application
(and any resume or other accompanying documents) is true and complete to the best of my knowledge. I
understand that if employed, false statements, significant omissions, or misleading information regardless of
when discovered, made on or in connection with my application and accompanying documents may result in
dismissal.
I authorize investigation of all statements contained in this application (and any resume or accompanying
documents) as may be necessary in arriving at an employment decision.
I understand that my prior employers may be contacted for the purpose of investigating my background as
required by 49CFR391.23.
I authorize all personnel, schools, companies, corporations, credit bureaus, and law enforcement agencies to
supply any and all pertinent information and release the same from any liability resulting from providing such
information.
I understand that from time to time the company may be asked to submit/release certain information, including
but not limited to, my employment or application for employment. I release the company and its agents from any
liability resulting from submitting/releasing such information.
I acknowledge that the company may request, as a condition of any offer of employment that is made or for
continued employment, that I undergo a medical exam, drug and alcohol testing, and I consent and agree to any
such exam, if required now or in the future. I understand that when drug testing is required, a satisfactory result
may be a condition of employment.
I understand that federal law prohibits the employment of unauthorized aliens and requires satisfactory proof of
employment authorization and identity inspection. All persons hired must submit satisfactory proof of
employment authorization and identity. Please have necessary documents available for inspection as required
by law.
If employed, I agree to abide by the rules and regulations of the company.
I understand that if I am employed, my employment is for no fixed period and is at-will. I understand that I could
be terminated at any time for any or no reason and I understand that I may quit at any time for any or no reason.
This understanding cannot be altered by anyone unless it is in writing and signed by the owner of the company.
I understand that this application does not create an offer of employment.
I understand that this company is an Equal Opportunity Employer.
This certifies that this application was completed by me, and that all entries on it and information in it are true
and complete to the best of my knowledge.
I have read and understand the above notice.