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To the applicant: We appreciate your interest in our company and assure you that we are interested in your qualifications. A clear understanding of you background and work history will assist us in seeking to place you in a position, which, in our judgment, best meets your qualifications.

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, marital, veteran status, height, weight, disability, or any other characteristic protected by federal, state, or local law.

Federal law requires employers to make accommodations to disabled applicants and employees where the accommodation does not impose an undue hardship on the employer.

Disabled employees and applicants may request an accommodation of their disability by notifying the company in writing of the need for accommodation within 182 days of the date the person with a disability knows or should know that an accommodation is needed. Failure to properly notify the company will preclude any claim that the employer failed to accommodate the person with a disability.

Personal

First Name *

Middle Name *

Last Name *

Phone Number *

Email Address *

Street Address *

City *

State *

Zip *

Are you 18 years or older *

Yes No

Can you,after employment, submit verification of you legal right to work in the United States? *

Yes No

Have you been previously employed here? *

Yes No

If yes, date(s)

Have you filed an application here before? *

Yes No

If yes, date(s)

List any friends or relatives working here?

Employment Desired

Position(s) Applied for *

Kind of work sought: * Full Time Part Time

Other

Do you have any special training, skils, qualifications, or other experiences that relate to the position(s) applied for?

Salary Desired *

Date available to start work *

Do you have any activities, commitments, or responsibilites (for example, school, other employment, etc) which might, in any way, interfere with your ability to work full time, including overtime, in the position for which you are applying? * Yes No

Employment

List your last four employers, starting with the most recent one first.

Employer *

Job Title *

Address *

Supervisor *

Supervisor's Phone Number *

Start Date *

End Date *

Starting Hourly Rate/Salary *

Final Hourly Rate/Salary*

Reason for leaving * Work performed *
Employer

Job Title

Address

Supervisor

Supervisor's Phone Number

Start Date

End Date

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Reason for leaving Work performed
Employer

Job Title

Address

Supervisor

Supervisor's Phone Number

Start Date

End Date

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Reason for leaving Work performed
Employer

Job Title

Address

Supervisor

Supervisor's Phone Number

Start Date

End Date

Starting Hourly Rate/Salary

Final Hourly Rate/Salary

Reason for leaving Work performed

Education

Elementary School

Name

Address

Number of Years Completed

High School

Name

Address

Number of Years Completed

Diploma/Degree

College

Name

Address

Number of Years Completed

Diploma/Degree

Courses of Study

Graduate

Name

Address

Number of Years Completed

Diploma/Degree

Courses of Study

Vocational/Training

Name

Address

Number of Years Completed

Diploma/Degree

Courses of Study

Any other educational training?

References

Do not include relatices or former employers

Name

Relation

Phone Number

Years Acquainted
Name

Relation

Phone Number

Years Acquainted
Name

Relation

Phone Number

Years Acquainted

Military Service Record

Indicate any relevant experience you have received in the Armed Forces of the U.S. or in a State Militia.

Additional Information

Are you currently bound by any agreement with a former employer that would prevent you from working here?*

Yes No

Have you ever been convicted of a crime?*

Yes No If so, where, when, and nature of offense

Have you have any felony charges pending against you?*

Yes No If so, please explain

Do you have a valid driver's license?*

Yes No

State any additional information that you feel may ne helpful to us in considering your application Any other names you have used

Authorization and Understanding

Upon the signing of this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize the company to verify any of the information concerning my employment, education, credit, or medical history with the appropriate individuals, companies, institutions, or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I authorize the company to obtain my credit report and criminal history for use in considering my application for employment, and, if hired, for promotions or continued employment. I also authorize the company to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure hereby release the company and them from any liability whatsoever as a result of any such inquiries and disclosures. I agree that any false information in support on my application my subject me to discharge at any time during the period of my employment.

If I am hired by the company, I will be prohibited from disclosing any company trade secrets or other confidential/proprietary information except as necessary in the course of performing my job.

Should I receive a conditional offer of employment, I agree to submit to a medical examination to evaluate my fitness for duty. I understand this may include a drug screen.

I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the company. I agree that I shall be bound by other rules, policies, regulations, and terms and conditions of employment of the company as they are from time to time changed.

I agree that any action or suit against the company arising out of my employment or termination of employment, including, but not limited to, claims arising under state or federal civil rights statuses, must be brought within one year of the event giving rise to the claim(s) (or the statutory limitations period, if shorter), or be forever barred. I waive any limitation periods to the contrary.

Signature

Natural Gas Compression Systems, Inc.

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Personal

Employment Desired

Employment

Education

Elementary School

High School

College

Graduate

Vocational/Training

References

Military Service Record

Additional Information

Authorization and Understanding