Application of Employment


    IMPORTANT! Please Read Carefully Before Completing Application

    • Please read and answer every question in this application yourself, as completely and accurately as possible.  If you require another person to type, write, or print the answers to the questions for you, you must take every measure to ensure the information provided is accurate to the best of your knowledge and ability.  Despite having someone else input the information into the application, you must sign the application yourself for the application to be considered valid.  However, having another person assist with completing the application should only be done as a reasonable accommodation.

    • Do not leave any answers blank.  “See Resume” is not an acceptable response to any of the questions; however, a resume may be attached.  An unsigned or incomplete application will not be processed.

    • It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.  An employer who violates this law shall be subject to criminal penalties and civil liability.

    • Noonan Energy Corporation is an Equal Opportunity Employer.  It is the policy of Noonan Energy Corporation to afford equal employment opportunity to all qualified persons without regard to membership in a legally protected class such as race, color, religion, sex, sexual orientation, national origin, gender identity, ancestry, age, genetic information, pregnancy, pregnancy-related conditions, qualified handicap or disability, veteran status or any other category protected by applicable federal, state, or local law in the jurisdiction of the position to which you are applying.  Noonan Energy Corporation is committed to providing a reasonable accommodation if necessary to perform the essential functions of the job.  If you require an accommodation in order to participate in any phase of the application process, because of a physical or mental disability, please make that fact known and a reasonable accommodation shall be made.

    Personal Information

    Last Name*

    First Name*

    Middle Name

    Date*

    Email*

    Address*

    Home Phone*

    Have you ever applied for employment with us?*

    If Yes: Month and Year:

    Location:

    Position Desired*

    Pay Expected*

    Does the position you’re applying for require a CDL license?*

    Apart from absence for religious observance, are you available for full-time work?*

    If not, what hours can you work?:

    Will you work overtime if asked?*

    Are you legally eligible for employment in the United States?*

    When will you be available to begin work?*

    Are you over 18 years of age?*
    If not, employment is subject to verification of minimum legal age.

    Other special training or skills (language, machine operation, etc.)

    How did you learn of our organization?*

    Education

    College

    Name of School

    Course of Study

    No. of years completed

    Did you graduate?

    High School

    Name of School

    Course of Study

    No. of years completed

    Did you graduate?

    Employment History

    Please give an accurate, complete full-time and part-time employment record. Start with present or most recent employer.

    Company Name

    Telephone

    Address

    Employed (State Month and Year)

    From:

    To:

    Name of Supervisor

    State Job Title and Describe Your Work

    Reason for Leaving


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    We may contact the employers listed above DO NOT CONTACT unless you indicate those you do not want us to contact.


    DO NOT CONTACT

    Employer Number(s)

    Reason

    Required Addendum to
    All Commercial Driver Applications ONLY

    FOR COMMERCIAL DRIVER APPLICANTS ONLY:

    Were you subject to the FMCSRs while employed here?*

    Was your job designated as a safety-sensitive function in any DOT- regulated mode subject to the drug and alcohol
    testing requirements of 49 CFR Part 40?*

    Driving Experience

    Class of Equipment*

    Type of Equipment (Van, Tank, Flat, etc.)*

    Dates From*

    Dates To*

    Approx. Miles*

    Nature of Operation (Type of Position
    and Purpose of Operation)*


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    List states operated in, for the last five (5) years:*

    List special courses/training completed (PTD/DDC, HAZMAT,ETC):*

    Have You Been In A Motor Vehicle Accident History Within the Past 3 Years?

    Date*

    Nature of Accident(Head-on, Rear-End, Upset, etc. and Severity of Injuries)*

    No. of Fatalities*

    No. of Injuries*


    Add more

    Do You Have Any Traffic Violations of Which You Were Convicted or Forfeited Bond Within the Past 3 Years?

    Date*

    State*

    Violation*

    Penalty*

    Relevant Facts*


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    Have you ever been denied a license, permit or privilege to operate a motor vehicle?*

    If you answered no, please write the following certification below “I attest that I have never been denied a license, permit or privilege to operate a motor vehicle. (Answer N/A if this is not relevant)*

    If you answered yes, please explain the details and circumstances of such denial. (Answer N/A if this is not relevant).*

    Is there any reason you might be unable to perform the functions of the job for which you have applied (as described in the job description)?*

    If you answered yes, please explain why you might be unable to perform the functions of the job for which you applied. (Answer N/A if this is not relevant)*

    Controlled Substance & Alcohol Questionnaire
    For DOT Purposes Only (pursuant to 49 CFR § 40.25(j))

    During the past two years have you applied for or been employed in a safety-sensitive transportation position covered by any DOT agency drug
    and alcohol testing rules?*

    IF YES, have you ever tested positive or refused to test, on any pre-employment drug or alcohol test administered by an employer during that period?*

    IF YES, did you successfully complete the return-to-duty process?*

    IF YES, can you provide documentation indicating successful completion of the process?*

    Military

    COMPLETE THIS SECTON IF YOU SERVED IN THE U.S. ARMED FORCES

    Branch of Service

    Describe your duties and any special training

    Period of Active Duty (Month & Year)

    From:

    To:

    Rank at Discharge

    Date of Final Discharge

    Job References

    List three (3) persons for references, other than family members, who have knowledge of your character and your qualifications for the
    position. Those applying for commercial driver positions must list references who have knowledge of your safety habits to be considered for such positions.

    Name

    Address

    Phone

    Name

    Address

    Phone

    Name

    Address

    Phone

    Upload Resume

    Attach your resume in PDF format.
    Max file size 3MB.

    Acknowledgement and Authorization

    Please read all the information in this section and then sign in the indicated area. This will allow Noonan Energy Corporation to accept and retain this application.

    I hereby certify that the information given in this Application for Employment has been given by me, or someone else at my direction as a reasonable accommodation, and that each entry made by me, or someone else at my direction, is true and complete to the best of my knowledge and understanding. I understand that the making of false, misleading or incorrect statements, including material omissions will be sufficient cause for immediate termination upon discovery thereof regardless as to when discovered, if employed by Noonan Energy Corporation; or that no further consideration for employment will be given to me, if an applicant or if seeking rehire or reinstatement.

    If employed by Noonan Energy Corporation, I agree to abide by its rules, policies and regulations, as they exist or as they may be modified or amended from time to time. I understand that neither this application form, nor any other communication by Noonan Energy Corporation representatives, written or oral, is intended in any way to create an employment contract binding on either party and that no one other than the President of the Company has any authority to make a contract regarding any benefit, condition or term of employment with me or to make any expressed or implied commitment, concerning benefits, conditions or terms of employment that differ from the published Noonan Energy Corporation policy or that is to serve as an individual arrangement in the absence of published company policy. I understand that representations made by the President of the Company are only binding if made in writing.

    I acknowledge that if employed, I am employed at will and my employment and compensation may be terminated, with or without cause, and with or without notice, at any time at the option of either Noonan Energy Corporation or myself unless there is a collective bargaining agreement or an individual agreement with other provisions to which my employment is subject.

    I authorize Noonan Energy Corporation to make inquiry of any of my present (unless otherwise noted) or former employers or references, as to my employment, compensation, experience, job suitability, education, or reasons for leaving; and any inquiry to any other agency, institution, or person about any information provided by me in this, my Application for Employment, or during any interview that I may be given. I authorize persons listed as references or previous employers (unless otherwise noted) to provide information concerning me to Noonan Energy Corporation. I further authorize Noonan Energy Corporation to conduct an Internet search regarding any information provided by me in this, my Application for Employment, or during any interview that I may be given. I release any such source and Noonan Energy Corporation from any liability regarding information of a truthful nature that may be obtained by Noonan Energy Corporation. Information in violation of state or federal fair employment practice laws will not be sought or used by Noonan Energy Corporation.

    If I am extended a conditional offer of employment, I understand that Noonan Energy Corporation may conduct an inquiry into my criminal history or other background information deemed relevant to the position sought, including any physical restrictions that may preclude my ability to perform the essential functions of the offered position without a reasonable accommodation.

    I understand that if I am employed, I will be required to show proof of citizenship or other evidence to show that I have an unrestricted legal right to work in the United States.

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

    Name*

    Date