Thank you for your interest in joining J. Price Energy Services LLC. Please complete all sections of this application fully and accurately. Information provided will be kept confidential and used solely for employment consideration.
J. Price Energy Services LLC is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of race, color, religion, sex, pregnancy, marital status, national origin, ancestry, citizenship, age, physical or mental disability, veteran or military status, genetic information, or any other legally protected basis and will, upon request, make reasonable accommodations to enable applicants with disabilities to participate in the hiring process.
Personal Information
Next: Eligibility
Federal Law requires proof of identity and employment authorization for all new employees.
If possible, please list the last ten (10) years of your previous work experience, starting with your most recent employer. (J. Price Energy Services LLC may contact former employers to validate the information provided on this Application)
| Level | Name | Highest Grade/Degree | Major Subject |
|---|---|---|---|
| High School | |||
| College | |||
| Other (Business, Vocational, Military) |
Please include safety-related training certifications within this section.
(You need not disclose membership in professional organizations that may reveal information regarding race, color, sex, pregnancy, religion, national origin, ancestry, citizenship, physical or mental disability, marital status, veteran or military status, or any other legally protected status. J. Price Energy Services LLC does not base employment decisions on any such factors that are not job related.)
(A conviction will not necessarily disqualify an applicant)
Have you signed or otherwise agreed to any non-solicitation, non-competition or other similar agreement with any prior employer that could affect your ability to work for J. Price Energy Services LLC?
Please read carefully and check each paragraph to acknowledge.
I understand and agree that my background could be investigated to the extent deemed necessary to confirm the accuracy and completeness of my answers to this Application and to determine my qualification for employment and that the nature and scope of the investigation, if one is conducted, it could include general identification information and information concerning my present or past employment, education, general reputation, character, personal characteristics and habits, and other such relevant job-related information including information that may be developed through personal interviews with third parties. I further understand and agree that only job-related information developed from such an investigation will be considered in evaluating my qualification for employment or continued employment. I authorize and consent to the foregoing background investigation without any further notice.
I understand and agree that employment with J. Price Energy Services LLC may be conditioned upon timely submitting to and successfully passing a pre-employment drug and alcohol screening test and may also be conditioned upon successfully completing a pre-employment physical examination conducted for the exclusive purpose of confirming I am qualified to perform the essential functions and meet the physical requirements of the job with or without reasonable accommodation safely and successfully.
I certify that the answers given by me to the foregoing questions and statements are true and correct without any material omissions of any kind whatsoever. I agree that my application for employment may be rejected, my candidacy for employment disqualified, or my subsequent employment terminated because of false or misleading answers or statements or because of any material omissions of fact made by me in this Application or at any time during the selection process.
I also authorize the employers, educational institutions, persons, or other third parties named above, including any other person or parties who may possess relevant background information, to disclose any information regarding my background, employment, education, character, and qualifications without any further notice from or release by me. I hereby release the foregoing persons and parties from all claims, losses, or liability of any type or nature for disclosing any such information to J. Price Energy Services LLC or any person or party acting on behalf of J. Price Energy Services LLC.
I also understand and agree that if employed, my employment will be strictly at will, and either I or my Employer including J. Price Energy Services LLC, may terminate the employment relationship at any time, without notice, and for any reason. I further understand and agree that this Application does not constitute an offer of employment. I acknowledge that, if subsequently employed, the at-will nature of my employment cannot be altered or modified except by a written agreement signed by the Chief Executive Officer of J. Price Energy Services LLC entitled "Modification of at Will Employment." I acknowledge that an offer of employment will be conditioned upon satisfactory proof of my authorization to work in the United States and that my failure to supply such proof in a timely manner will result in termination of my employment without regard for citizenship, national origin, or ancestry.
I certify that, if employed, my employment with J. Price Energy Services LLC will not conflict with, or result in the violation of, breach of, or default under any contract, agreement or understanding that I am a party to or am bound by, other than those I have disclosed in this application, if any, and that my employment with J. Price Energy Services LLC will not violate any non-solicitation, non-competition or other similar covenant or agreement I have with any of my prior employers, other than those I have disclosed in this application if any.
I understand and agree that, if employed, I will immediately report to my supervisor, a representative of Human Resources, or any other member of J. Price Energy Services LLC management with whom I feel comfortable reporting to and including the Chief Executive Officer, any harassment, discrimination, retaliation, or other illegal or unethical behavior committed by or against any J. Price Energy Services LLC employee, contractor or vendor that I may experience, or I witness.
Arbitration Agreement: In exchange for J. Price Energy Services LLC's receipt of this Application, I promise to submit exclusively to and resolve through binding arbitration under the Federal Arbitration Act all claims, controversies, or disputes involving J. Price Energy Services LLC, or any person or party affiliated with J. Price Energy Services LLC. Whether such claims are based on federal or state statute, regulation, common law, equity, municipal ordinance or any other legal or equitable ground ("claims"). The parties also shall arbitrate all disputes concerning the arbitrability of any claims and the validity, enforceability, scope, interpretation, and application of this Agreement. The parties waive trial by judge or jury and agree to arbitrate their claims individually and not as a member or representative of a class or collective action unless all parties consent to class or collective arbitration, but the parties do not waive any other rights or remedies available under law. Arbitration shall be conducted before a single arbitrator pursuant to the National Rules for the Resolution of Employment Disputes of the American Arbitration Association in effect on the date of notice of a claim. A party that successfully obtains an order compelling arbitration shall be awarded its attorney fees and costs.
MY SIGNATURE BELOW IS EVIDENCE THAT I HAVE READ, UNDERSTAND, AND AGREE WITH THE IMPORTANT ACKNOWLEDGMENTS SET FORTH ABOVE.
Your application has been submitted successfully.
We will review it and contact you if there is a match.
— J. Price Energy Services LLC