Employment Application

Employer Information
Employer:TORQMASTER,
LLC Address: 5712 E COUNTY RD 64
City/State/ZIP: MIDLAND, Texas 79705
Telephone: 432-703-8072

It is the policy of TORQMASTER, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Applicant Information
Applicant Full Name*
Home Address*
City*
State*
ZIP
Number of years at this address*
Day time phone
Evening phone
Mobile phone*
Social Security Number
Driver's License(State/Number)

Emergency Contact
Who should be contacted if you are involved in an emergency?
Contact Name*
Relationship to you*
Email*
Address*
City*
State*
ZIP
Day time phone
Evening phone

Applicant's Skills
List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)
Skill Years of Experience*
Applicant Employment History
List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.
Employment History 1
Employer Name
Supervisor Name
Address
City
State
ZIP
Job Duties
Reason for Leaving
Dates of Employment (Month/Year)
Date Format: MM slash DD slash YYYY
Employment History 2
Employer Name
Supervisor Name
Address
City
State
ZIP
Job Duties
Reason for Leaving
Dates of Employment (Month/Year)
Date Format: MM slash DD slash YYYY
Employment History 3
Employer Name
Supervisor Name
Address
City
State
ZIP
Job Duties
Reason for Leaving
Dates of Employment (Month/Year)
Date Format: MM slash DD slash YYYY

Applicant's Education and Training College/University Name and Address
Did you receive degree?
- Yes
- No
If yes, degree(s)received
High School/GED Name
Address
Did you receive degree?
- Yes
- No
Other Training (graduate, technical, vocational)
Please indicate any current professional licenses or certifications that you hold
Awards, Honors, Special Achievements
Military Service
- Yes
- No
Branch
Specialized Training

References
List any two non-relatives who would be willing to provide a reference for you.
Relatives 1
Name*
Address*
Relationship*
ZIP
City*
State
Telephone*
Relatives 2
Name
Address
Relationship
ZIP
City
State
Telephone
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with any current employer
Please list any negative incidents that would appear on your driving record; DUI, DWI, speeding, accidents etc.

CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize TORQMASTER, LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary innature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of TORQMASTER, LLC, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.
APPLICANT SIGNATURE DATE*
Name
This field is for validation purposes and should be left unchanged.

Employer Information

Applicant Information

Emergency Contact

Job Position

Applicant's Skills

Applicant Employment History

Employment History 1

Employment History 2

Employment History 3

Applicant's Education and Training College/University Name and Address

References

Relatives 1

Relatives 2

CERTIFICATION