Application For Employment

Independence Contract Drilling, Inc. and each of its subsidiaries ("ICD") is an equal opportunity employer. We do not discriminate on the basis of race, religion, national origin, color, sex, age, or disability. It is our intent that all applicants be given equal opportunity with selection decisions based on job-related factors.

Fields marked (*) are required

Position Applied For: *

with * IC Drilling:     

Personal Information

Last Name: * First Name: * Middle Name:
Street Address: *    
City: * State: * ZipCode: *
Home Phone
(please use numbers only): *
Cell Phone
(please use numbers only): *
 
 
Email Address: *    
   

Job Information

Date You Can Start:    
Expected Pay Rate: per:
Do you have the legal right to work in the United States?
Yes: No:
Have you ever worked for ICD?
Yes: No:
If yes, please give dates and company:
Do you have any relatives employed at ICD?
Yes: No:
If yes, please give name:
and relationship:
Have you ever been convicted of a felony? Criminal convictions will not automatically disqualify an applicant from consideration for a particular job. ICD will consider the nature of the offense, the time elapsed, and mitigating factors, and whether the conviction(s) relate to the position applied for.
 
Yes: No:
 
If yes, please explain:

Special Training, Certifications and Skills

BOP, Rig Pass, CPR, Machine Operation, Languages, etc that would be of benefit in the
job for which you are applying:


Employment Experience

List your most recent employer first.

Company:
from (mm/yy): to (mm/yy):
Address: Telephone:
Job Title: Supervisor/Title:
Starting pay rate of $ per
Ending pay rate of $ per
Work Performed:
Reason for leaving:

Company:
from (mm/yy): to (mm/yy):
Address: Telephone:
Job Title: Supervisor/Title:
Starting pay rate of $ per
Ending pay rate of $ per
Work Performed:
Reason for leaving:

Company:
from (mm/yy): to (mm/yy):
Address: Telephone:
Job Title: Supervisor/Title:
Starting pay rate of $ per
Ending pay rate of $ per
Work Performed:
Reason for leaving:

Explain any gaps in your employment, other than those due to personal illness, injury, or disability:
Have you ever been fired or asked to resign from a job?
Yes:
No:
If yes, please explain:

Education Background

High School:
Diploma GED
  Year:
College:  From: To:  
  Degree:  
  Did you graduate?
Yes: No:
       
Technical School:    
  From: To:  
  Did you graduate?
Yes: No:
  Degree:  
       
Continuing Education:

APPLICANT MUST READ AND VERIFY
by checking the box before submitting

I declare that the statements contained in this application are true and correct and understand that withholding information or making a false statement at any time during the application or pre-employment process will disqualify me from consideration for employment with ICD, or, if employed, discipline action, up to and including termination of my employment with ICD. I authorize all employers, educators, and other firms or persons named herein to provide ICD with information regarding my education, employment, and medical history and release each from all liability for any damages that may result from furnishing information regarding me.

I understand that this application does not create a contract of employment, obligate ICD to offer me employment or to hire me. I further understand that if I am employed by ICD, my employment will be on at “AT WILL” basis and may be terminated by ICD at any time with or without cause or notice. If I am employed, I understand that I will wear all required personal protection equipment and will abide by all federal, state, local, laws and ICD procedures and regulations while working for ICD.

In connection with my application for employment with ICD, I understand that investigational background inquires may be conducted on me including consumer, criminal, driving, and industrial safety records. These reports will include, but no be limited to, information regarding my character, work habits, performance, and experience along with reasons for termination of employment with previous employers. I acknowledge that I have been provided with a summary of my rights relating to a consumer background investigation and that I have authorized ICD to conduct a consumer background investigation on me. Further, I understand that information from various federal, state, and local agencies may be requested regarding my past activities relating to driving, credit, criminal and civil litigation, as well as claims involving me in the records of insurance companies. I agree to submit to medical testing including a physical examination and drug and alcohol testing.

I understand that failure to submit to any of these tests or an unsatisfactory result from any of these tests will disqualify me from further consideration for employment with ICD. Please submit application to HR@icdrilling.com for review.


I have read and understand the above. *      Yes:  




Independence Contract Drilling was founded in 2011 as a provider of premium integrated onshore drilling services.