Employment Application Step 1 of 6 16% CompanyThis field is for validation purposes and should be left unchanged.Start your career today!Select a company below to see the current job openings. This will allow you to select a position and continue on with an application. If you have questions or issues with the application, please contact us at hr@basinnation.com. Thank you.Company that you are applying to: Spearfish Oilfield Supply Basin Service Company, Inc. Basin Well Service, Inc. Position You're Applying For:(Required) Diesel Mechanic, Westhope, ND Heavy Duty Shop Service Tech, Westhope, ND Hot Oil Truck Driver/Operator, Westhope, ND Position You're Applying For:(Required)Basin Well Service is not currently hiring, but you are welcome to complete and application, and we will keep it on file. General Application/Resume Position You're Applying For:(Required)Spearfish Oilfield Supply is not currently hiring, but you are welcome to complete and application, and we will keep it on file. General Application/Resume Consent(Required)I authorize you to make sure investigations and inquiries to my personal, employment, financial, or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only of and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance as required by 49CFR 391.23(d) and (e). I understand that I have the right to: - Review information provided by current/previous employers; - Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and - Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information. Applicant agrees to the above statement Your Personal InformationYour Name(Required) First Middle Last Your Email Address(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands List any other additional addresses (include last 3 years)Your Phone (###) ###-####(Required) Type of employment desired (check all that apply)(Required) Full Time Part Time Temp Seasonal Select AllAre you legally allowed to work in the United States?(Required) Yes No Have you ever worked for this company before?(Required) Yes No Do you have a valid Driver's License?(Required) Yes No Have you ever been denied issue of a license, permit, or privledge to operate a motor vehicle?(Required) Yes No If yes, then explain (when?, details?)Has any license, permit, or privledge ever been suspended or revoked?(Required) Yes No If yes, then explain (when?, details?)Driver's License Class(Required) Class A CDL Class B CDL Class C CDL Class D standard license Driver's License(Required)StateLicense NumberExpiration Date Add RemoveIn the past 2 years, have you failed or refused any DOT regulated drug or alcohol test?(Required) Yes No If yes, then explainEndorsements(Required) Tanker HAZMAT Doubles/Triples None Class of EquipmentComplete any that are applicable belowStraight TrucksType (Van/Tanker/Flatbed,etc.)Years of Experience Add RemoveTractors; Semi-TrailerType (Van/Tanker/Flatbed,etc.)Years of Experience Add RemoveTractors; Two Trailers (Doubles)Type (Van/Tanker/Flatbed,etc.)Years of Experience Add RemoveAccident HistoryInclude at least the last 3 years or more1. Last AccidentApproximate DateNature of accidentFatalities Y/NInjuries Y/N Add Remove2. Next Previous AccidentApproximate DateNature of accidentFatalities Y/NInjuries Y/N Add Remove3. Next Previous AccidentApproximate DateNature of accidentFatalities Y/NInjuries Y/N Add Remove Previous EmploymentNote: If applying for a CMV/DOT position, the FMCSA requires that employment for the past 3 years AND/OR CMV experience for the past 10 years be shown.Last EmployerPlease complete all fields.Last EmployerCompany NameAddressPhonePosition HeldStart dateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Was this position subject to FMCSA (DOT) regulations? Yes No Was this position designated as safety sensitive, and subject to the drug and alcohol testing requirements of 49CFR, Part 40? Yes No Second Last EmployerSecond Last EmployerCompany NameAddressPhonePosition HeldStart dateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Was this position subject to FMCSA (DOT) regulations? Yes No Was this position designated as safety sensitive, and subject to the drug and alcohol testing requirements of 49CFR, Part 40? Yes No Third Last EmployerThird Last EmployerCompany NameAddressPhonePosition HeldStart dateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920End DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Was this position subject to FMCSA (DOT) regulations? Yes No Was this position designated as safety sensitive, and subject to the drug and alcohol testing requirements of 49CFR, Part 40? Yes No Additional InformationIf you would like to provide us with any additional information, please leave it here.Tell Us About YourselfDocument UploadUpload your resume or documents in .png, .gif, .jpg, .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, jpg, gif, png, Max. file size: 50 MB.