Careers

Please complete all portions of this employment application to be considered for employment with Mack Energy. If you require accommodation during the employment application process, including assistance in the completion of this employment application, please let us know.

We are an equal opportunity employer, and we do not discriminate on the basis of age, race, sex, religion, color, national origin, or disability. This application is valid for a one year period after submission to Mack Energy, and will only be valid for the position applied for. Consideration for employment after one year requires completion and submission of a new application.

Please note that this form does time out after 20 minutes, so please start and complete the form promptly.

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Personal Information

Title Mr Mrs Miss Ms Dr First Name Last Name Email Referred by Address City State ZipCode Country Home Phone Number Cell Phone Number

Employment Desired

Position(s) applying for Date Available Is there any reason you may be unable to perform the function of the job for which you have applied? If yes, explain. Have you ever been convicted of a crime?
Yes
No
If yes, explain fully: Are you currently employed?
Yes
No
If yes, may we contact your present employer?
Yes
No
Have you worked for Mack Energy before?
Yes
No
If yes, when? Are you over 18?
Yes
No
Are you over 21?
Yes
No
Are you eligible for employment in the United States?
Yes
No
Are you willing to work overtime?
Yes
No
If no, please explain.

Education

Highschool Years Completed College/University/Technical Years Completed Diploma/Degree Course of Study

Employment History

Name of Previous Employer 1 Previous Employer Address 1 Previous Employer Phone 1 Position Held 1 Start Date 1 End Date 1 Salary 1 Job Duties 1 Reason for Leaving 1 Any gaps in employment and/or unemployment must be explained. Include dates (month/Year) and reason. 1 Name of Previous Employer 2 Previous Employer Address 2 Previous Employer Phone 2 Position Held 2 Start Date 2 End Date 2 Salary 2 Job Duties 2 Reason for Leaving 2 Any gaps in employment and/or unemployment must be explained. Include dates (month/Year) and reason. 2 Name of Previous Employer 3 Previous Employer Address 3 Previous Employer Phone 3 Position Held 3 Start Date 3 End Date 3 Salary 3 Job Duties 3 Reason for Leaving 3 Any gaps in employment and/or unemployment must be explained. Includes dates (month/year) and reason. 3

Personal/Business References

Reference 1 Name Reference 1 Address Reference 1 Position Reference 1 Years Acquainted Reference 2 Name Reference 2 Address Reference 2 Position Reference 2 Years Acquainted Reference 3 Name Reference 3 Address Reference 3 Position Reference 3 Years Acquainted Are you willing to travel if job requires it
Yes
No
Do you have a valid driver's license?
Yes
No
If so, what type? Any restrictions? Have you been cited for motor vehicle violations/accidents within the last 3 years?
Yes
No
If so, state violation, date, place and resolution. Upload Resume Upload Cover Letter