Employment Application

Davenport Energy is an equal opportunity employer.

Application must be completed even if attaching a personal resume.

Personal Information

If under 18, do you have a work permit?
(convictions are not an automatic denial of employment)

Employment Desired

Education and Training

License/Driving History (complete only if applying for a position that requires a CDL)

Traffic convictions and accidents (past 3 years)

Employment History

List most recent employment first. Account for all periods between jobs. Please compelte all information for a 10-year period.

Position 1

to


Position 2

to


Position 3

to


Employment References

Declaration and Authorization

I certify that this application was completed by me and all statements made on this application are true and complete to the best of my knowledge.

I understand that any false statements made on this application will cause cancellation of any further consideration and in the event of employment may result in discharge.

I authorize, without reservation, the prospective employer, its representatives or agents to contact and obtain information from all sources; including former and current employers (unless otherwise noted), public agencies and educational institutions to verify the accuracy of information given in connection with this application for employment. A criminal background check will be required as part of the employment process.

I hereby release all such employers, public agencies and educational institutions from any and all liability resulting from the release of information.

Notification of Driver's Rights

In accordance with Federal Motor Carrier Safety Administration regulation 391.23 (i)(1), we are required to make known to Driver applicants for employment with our company that you have the following rights regarding the investigative information that will be provided to our company pursuant to paragraphs (d) and (e) of this section of the regulation.

You have the right to review information provided by your pervious employers.

You have the right to have errors in the information corrected by the previous employer and for that previous employer to re-send the corrected information to our company.

You have the right to have a rebuttal statement attached to the alleged erroneous information if the previous employer and the driver can not agree on the accuracy of the information.

I understand that I have been informed of these rights in accordance to the above listed regulation.

Signature

I have read and agree to the terms listed above and the Davenport Terms and Conditions. I understand and agree that this application is being submitted electronically via the Davenport website at www.davenportenergy.com and that my typed name below shall constitute my signature on this application. My signature indicates that I agree to the Account Terms and Conditions as displayed online and recorded in this document. I understand that I will automatically receive a copy of this electronic application via email upon submission.

Electronic signature

Submitting this form

Type the characters shown in the box provided and click submit.