Employment Record
Starting with Present or Most Recent, list all previous employers and supply all requested information. Include self-
employment, summer, part-time jobs and any period of unemployment. If you need more space, please continue on a separate
sheet. Please indicate any change of name or assumed name used in work experiences. Any gaps in information will cause
this to be rejected as an incomplete application. We do
NOT
accept “See Resume”.
In exchange for the consideration of my job application at Blue Ox Land Services, I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the
position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals,
benefit plans, policy statements, and the like as they may exist from time to time , or other Blue Ox practices, shall
serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Blue
Ox Land Services, or otherwise to change in any respect to the employment at will relationship between it and the
undersigned , and that that the relationship cannot be altered except by written instrument signed by the President/
general Manager of Blue Ox Land Services. Both the undersigned and Blue Ox may end the employment relationship at
anytime, without specified notice or reason. If employed, I understand that Blue Ox Land Services may unilaterally
change or revise their benefits, policies and procedures and such changes may include a reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission
of facts called for is cause for dismissal at any time without any previous notice. I hereby give Blue Ox permission
to contact schools, previous employers (unless otherwise indicated), references, and others and hereby release the
Blue Ox Land Services from any liability as a result of such contact.
I also understand that (1) Blue Ox has a drug and alcohol policy that provides pre-employment testing as well as testing
after employment (2)consent to and compliance with such policy is a condition of my employment (3) continued employment
is based on the successful passing of testing under such policy. I further understand that continued employment may
be based on the successful passing of job-related physical examinations.
I understand that in connection with the routine processing of your employment application, Blue Ox Land Services may request
from a consumer reporting agency and investigative consumer report including information as to character, general
reputation, personal characteristics and mode of living. Upon written request from me, Blue Ox Land Services will
provide me with additional information concerning the nature and the scope of any such report requested by it, as
required by the Fair Credit Reporting Act.
I understand that Blue Ox does not unlawfully discriminate in employment and no questions on this application is used for
the purpose of limiting or eliminating any applicant for consideration for employment on any basis prohibited by local,
state or federal low.
I further understand that my employment with Blue Ox Land Services shall be probationary for a period of 90 days and further
that at any time during the probationary period thereafter , or my employment relation with Blue Ox land services
is terminable at will for any reason by either party.
This application is current for only (9O) days. At the conclusion of this time, if you have not heard from the company and
still wish to be considered for employment it will be necessary for you to complete a new application.