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7/27/2019 Chevron Oil and Gas Company Application Form http://slidepdf.com/reader/full/chevron-oil-and-gas-company-application-form 1/4  APPLICATION FOR EMPLOYMENT  Department of Human Resources 1 West ferry Circus, Canary Wharf,  London, E144HA, United Kingdom Tel: +44-770-003-6982. www.chevron.com  ______________________________________________________________________  First Name: Middle Name: Last Name: Contact Tel: Passport No: Date of Issue: Place of Issue: Expiring Date: Spouse Name: Nationality: Old Address ___________________________________________________________________________ Present Address _______________________________________________________________________ INDICATE YOUR HOURLY CHOICE State: Zip: Socia l Security No: Date: Position Applied For: If under 18years Please List Age: Full Time Only: Part-Time Only: Full or Part-Time: Can you work nights: How many hours can you work weekly: Days Available to work: When Available for work ________________________________________________________________ EDUCATION/ TYPE OF SCHOOL: Your Sex: Date of Birth: Place of Birth: High School: College: Bus. Or Tread School: Occupation: Professional School:

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Page 1: Chevron Oil and Gas Company Application Form

7/27/2019 Chevron Oil and Gas Company Application Form

http://slidepdf.com/reader/full/chevron-oil-and-gas-company-application-form 1/4

 

APPLICATION FOR EMPLOYMENT

 Department of Human Resources

1 West ferry Circus, Canary Wharf, 

London, E144HA, United Kingdom

Tel: +44-770-003-6982. www.chevron.com

 ______________________________________________________________________  

First Name:

Middle Name:

Last Name:

Contact Tel:

Passport No:

Date of Issue:

Place of Issue:

Expiring Date:

Spouse Name:

Nationality:

Old Address ___________________________________________________________________________

Present Address _______________________________________________________________________

INDICATE YOUR HOURLY CHOICE

State:

Zip:

Social Security No:

Date:

Position Applied For:

If under 18years Please

List Age:

Full Time Only:

Part-Time Only:

Full or Part-Time:

Can you work nights:

How many hours can

you work weekly:

Days Available to work:

When Available for work ________________________________________________________________

EDUCATION/ TYPE OF SCHOOL:

Your Sex:

Date of Birth:

Place of Birth:

High School:

College:

Bus. Or Tread School:

Occupation: Professional School:

Page 2: Chevron Oil and Gas Company Application Form

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Email Address:

Have You Ever Been

Convicted of a Crime:

If yes, Explain Number

of Conviction (S) Nature

of Offense (S) Leadingto Conviction:

Major & Degree:

LOCATION (complete

mailing address)

How Recently such

offense (S) Was/Were

Committed, Sentence(S) imposed and type:

DO YOU HAVE A DRIVER’S LICENSE? YES ____NO__ ___

WHAT IS YOUR MEANS OF TRANSPORTATION TO WORK

 _____________________________________________________________________________________ ?

DRIVER’S LICENSE NO ____________________ State of Issue _______________________________________  

Operator ____ Commercial (CDL) ________________________________ Chauffeur Expiration Date

 ______________________________ Have you had accident during the past three years? __YES __NO

How many times? _______Have you had any moving violations during the past three years? __YES __NO

Work Experience Please list your work experience for the past five years beginning with your most recent jobheld? _______________________________________________________________________ 

If you were self-employed, give firm name.Attach additional sheets if necessary. 

Name of employer ________________  Address ________________________ Name of last _________________  ______________________________________________________Supervisor ___ _________  ____________________________________________________________Employment dates Pay or salary _ _________  _____________________________________________City, State, Zip Code ________________________________________________________________Phone number _____________________________________________________________________Your last job title___ ________________________________________________________________Reason for leaving (be specific) _ _________________  ______________________________________List the jobs you held, duties performed, skills used or learned, advancements or promotionsWhile you worked at this company__ _________________________________________ 

Name of the company _______________________________________________________________

INSTRUCTIONS 

These instructions must be followed exactly, Print out and Fill out application form completely and send scan copiesvia same e-mail. If questions are not applicable, enter "NA." Do not leave questions blank. Be sure to sign when

completed. Chevron does not discriminate on the basis of race, colour, national origin, sex, religion, age or disability in employment or the provision of services. Your Resumes will not be accepted in lieu of applications, note

that your resume has been checked and you might be undergoing your induction in our Head office in UK 

Page 3: Chevron Oil and Gas Company Application Form

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PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOURUNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED.

1 I certify that all the information provided by me in connection with my application, whether on this document or not, is true and

complete, and I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if 

hired, termination.

2. I understand that as a condition of employment, I will be required to provide legal proof of authorization and Visa to work in the

United Kingdom which I will incur the payment and note that Free Economy air Class and Accommodation will be provided by the

Company.

3. I understand that the Company could send all the essential documents and appoint British Immigration to assist you in getting

your entry clearance (Tier 2 visa & other traveling documents) from the British High Commission in your Country.

4 I understand that some state agencies will check with our verification Department of Chevron, the British intelligence agency

Or other organizations, for any criminal history in accordance with applicable statutes.

5 I authorize any of the persons or organizations referenced in this application to give you any and all information concerning m

 previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the

subjects covered by this application, and I release all such parties from all liability from any damages which may result from

furnishing such information to you.

 Applicant’s Signature ..

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