Kamber Online Application

Please fill out the form below to submit your application. Please ensure that ALL feilds are filled out before submitting.

Application Details
Division you are applying for: Coil Tubing Nitrogen
Position Applied for:
Date of Application / MM / DD YYYY
Personal Details
Name First Last
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Residence Phone - (###) - ###-####
Buisness / Mobile Phone - (###) - ###-####
Work Details
Are You Legally Entitled to Work in Canada? Yes No
Selecting 'No' could effect your candidacy.
Are you eligible to be bonded? Yes No
Will you be willing to relocate? Yes No
Will you be able to work on a 24 hour call basis? Yes No
Do you have a reliable source of transportation? Yes No
Have you been employed by any of our subsidiary companies before? Yes No
If you answered yes to the previous question, please provide date and location
Are there any limitations that would prevent you from performing this job? If yes, please explain:
Emergency Contact Person First Last
Relationship
Address
Emergency Contact Address 1

Emergency Contact Address 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) ###-####
Resume
Past Employers

Input details from your previous work situations (Max. 3), and include your employer's name, employer's phone number, Work Performed, date Started/left, salary, and reason for leaving.
References

List your references, including name, address, phone, and occupation.
Education

Input your educational background including names of institutes, years completed, and degree or certificate(s) achieved.
Training / Certificates You Have H2S Alive First Aid Well Servicing BOP/Coiled Tubing BOP Defensive Driving BOP: 1st Line Fall Protection Confined Space WHIMIS Rig Rescue TDG: Clear Language P.I.T.S. - Floorhand Training Gas Detection & LEL Course Crane Certification
For certificates checked, provide expiry dates and certificate numbers
Date of last hearing test / MM / DD YYYY
Driver Information
Operator Licence No.
Date of expiry / MM / DD YYYY
Province Issued
Licence Class No.
How many demerit points do you have?
Has your operator's license been suspended in the last 2 years? Yes No
Additional Comments
Include any comments or relevant additional skills or knowledge

Kamber Online Application

Kamber Online Application

Application Details

Personal Details

Work Details

Resume

Driver Information

Additional Comments