International

Employment at Universal Field Services

GENERAL OFFICES:
PO Box 35666, Tulsa Oklahoma 74153, (918)494-7600, (800) 447-9191

EMPLOYMENT APPLICATION

We are pleased that you have decided to apply for employment with Universal Field Services, Inc. ("Universal"). We are an Equal Opportunity Employer with a drug free environment. We are committed to employing a diverse workforce as set forth in our affirmative action plan. Our Equal Employment Opportunity Policy protects applicants and employees from discrimination based on race, skin color, religion, gender, marital status, national origin, disability, age, veteran status and any form of unlawful harassment. Universal is committed to maintaining a drug free work environment that is safe and productive. This fundamental policy is emphasized throughout Universal's offices and locations.

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PERSONAL DATA

Yes No
Yes No   Birthdate Month:   Birthdate Day:
Yes No
(If offered employment, you will be required to provide documentation to verify eligibility.)
 
 
If you are multi-lingual, list language(s) and check applicable box(es).
Read    Write    Speak   
Read    Write    Speak   
Read    Write    Speak   

EDUCATION

Name, City and State
of Educational Institution
Graduated If no, Degree Credits Earned Type of Degree Received or Expected Major
Yes No
High School
College or University
Technical/GED

WORK EXPERIENCE

Please X all boxes to show you have experience in a particular area.
Pipeline Electric Telecommunications
Title Title Title
Acquisition Acquisition Acquisition
Permits Permits Permits
Damages Damages Damages
Supervision Supervision Supervision
 
Government Additional Experience / Comments
Title
Appraisal
Acquisition
Relo. Asst.
Property MGMT.
 
Computer Skills
Database Software (Access or other)
Spreadsheet Software (Excel)
Word Processing Software (Word)
Electronic Mail Software (Outlook)
 
List states in which you hold Real Estate Licenses:
List states that you have worked in:

REQUIRED REFERENCE LIST

Please list three (3) references who are familiar with your work.

 
 



BY SUBMITTING THIS FORM: I certify that answers given herein are true and complete, to the best of my knowledge. I understand that false information or significant omission of facts may disqualify me from further consideration for employment and may be considered as justification for termination if discovered at a later date. I authorize Universal Field Services, Inc. or its agent to contact any reference in this application for employment.

I hereby understand and acknowledge that the position I am applying for with Universal Field Services, Inc. is of an "at will" nature, which means that I may resign at any time and that Universal Field Services, Inc. may discharge me at any time with or without cause or notice. I understand that no employee of Universal Field Services, Inc. other than the President has the authority to enter into any agreement contrary to the "at will" nature of my employment or make any oral assurance or promise of continued employment. I also understand that any agreement by the President for employment for a specific period of time must be made in writing and signed by the President.



Affirmative Action: Voluntary Self Identification Form

Universal Field Services, Inc. is an Equal Opportunity Employer. As required by law, we must record certain information to be made a part of our Affirmative Action Program.

Applicants for employment are also invited to participate in the Affirmative Action Program by reporting their status as disabled, disabled veteran, veteran of the Vietnam era or other minority. In extending this invitation you are also advised that: (a) workers (applicants) are under no obligation to respond, but may do so in the future if they choose; (b) responses will remain confidential within the Human Resources Department; and (c) responses will be used only for the necessary information to include in our Affirmative Action Program. We are a company that values diversity. We actively encourage women and minorities to apply. Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment.

Please complete the information requested below. Thank you for your cooperation.

Please check all that apply

Race or Ethnic Identity Gender Veteran Status Other
 Hispanic or Latino ?

A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

 Male  Disabled Veteran ?

Defined as (1) a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs, or (2) a person who was discharged or released from active duty because of a service-connected disability.

 Individual with Disabilities ?

Defined as a person who (1) has a physical or mental impairment which substantially limits one or more of his or her major life activity(s), (2) has a record of such impairment(s), or (3) is regarded as having such impairment(s). For purposes of this definition, an individual with disability(s) is substantially limited if he or she is likely to experience difficulty in securing, retaining, or advancing in employment because of the disability(s).

 White (not Hispanic or Latino) ?

A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

 Female  Special Disabled Veteran ?

Defined as a veteran who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans Affairs for a disability:
1. Rated at 30 percent or more; or
2. Rated at 10 or 20 percent in the case of a veteran who has been determined under 38 U.S.C. 3106 to have a serious employment handicap; or
3. A person who was discharged or released from active duty because of a service-connected disability.

 
 Black or African American (not Hispanic or Latino) ?

A person having origins in any of the black racial groups of Africa.

   Vietnam Era Veteran ?

Defined as a person who served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred:

  • In the Republic of Vietnam between February 28, 1961, and May 7, 1975; or
  • Between August 5, 1964, and May 7, 1975, in all other cases; or
  • Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed In the Republic of Vietnam between February 28, 1961, and May 7, 1975; or between August 5, 1964, and May 7, 1975, in all other cases.

 
 Native Hawaiian or Pacific Islander (not Hispanic or Latino) ?

A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

   Recently Separated Veteran ?

Any veteran who served on active duty in the U.S. military, ground, naval or air service during the one year period beginning on the date of such veteran’s discharge or release from active duty.

 
 Asian (not Hispanic or Latino) ?

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

   Armed Forces Service Medal Veterans ?

Defined as any veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

 
 American Indian or Alaskan Native (not Hispanic or Latino) ?

A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

     
 Two or More Races (not Hispanic or Latino) ?

All persons who identify with more than one of the above five races.

     
 I do not wish to Self-Identify      


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