application and skill assessment package v

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v.1aw1 (C) US EPEC 2013 Office Use Only: dm___________ rsp1d_____________dr_______________o______________ v.1aw1 (C) US EPEC 2013 Application and Skill Assessment Package Check each box to indicate position(s) you are seeking and to refine your job search. Name:________________________________________________________________________________________________________________________ Employment Status:________________________________________________ Cell-Phone:________________________________________________ Current Title:______________________________________________________ E-Mail:______________________________________________________ Promptly return application package with resume by mail or fax to (281) 254-7942 Complete this questionnaire Sign and date application Include your most current resume 1 2 3 4 Geologist Geophysicist Petrophysicist Geotechnical Engineer Geoscientist Geoscience Technician Seismic Software Specialist Geochemis Cartography / Mapping Geosciences Process Engineer Reservoir Engineering Petroleum Engineering Production Engineering Drilling Engineering Chemical Engineering Production Testing Petroleum Engineering Project Management Accounting or Finance Sales & Marketing Business Development Operations Management Technical Sales Secretarial or Administrative Human Resources IT Analysis & Management Business Analyst Contracts Administration IT Sys Admin & Support IT Software Development Executive IT Programming & Database Instructor / Trainer Customer Service Commercial Management Financial Audit Document Control Risk Management Facilities Management Asset Management IT SAP / ERP Legal Process Management IT Networking & Telecom Payroll Energy / Commodity Trading Bookkeeper Graphics Design Landman Camp Boss Technical Writing Research & Development PR / Corporate Communications Lease Analyst Management / Support Mechanical Engineering Electrical Engineering Instrument & Controls Engineer Design Engineer Project Engineer Civil Engineering Structural Engineering Engineering Manager Pipeline Engineering Subsea Engineering Piping Engineer CAD / CAM Rotating Equipment Technical Manager Metallurgist / Materials Engineering Manufacturing Engineering Marine Engineering Engineering Technician Facilities Engineer Naval Architecture Installation Engineer Hydraulic & Pneumatic Chemist Field Development PDMS / PDS Laboratory Ops / Tech Umbilicals, Risers and Flowlines Floating Systems Modeling Physicist Engineering & Science Drilling Superintendent Toolpusher Driller Drilling Consultant Drilling Foreman Rig Manager Drilling Manager Company Man OIM WellSite Supervisor Barge Engineer Rig Mechanic Subsea Engineer Rig Electrician Storeman Directional Driller Motorman Derrickman Casing Floorhand Roustabout Rig Instrument Tech Radioman Crew Chief Rig Mover Rig Welder Drilling / Rig Personnel Construction Engineer Commissioning Engineer / HUC Planner / Scheduler Supply Chain Management Construction Manager Materials Management Contracts Engineer Purchasing Project Controls Logistics Management Construction Superintendent Budget / Cost Control Warehouse Person Cost Engineer Civil Construction Estimating Site Engineer Quantity Surveying Fabrication Inventory Control Piping Supervisor Architect Procurement & Construction We are a member based organization and are here to represent our member’s needs and requirements 716 County Road 10 NE #316 Blaine, MN 55434

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Page 1: Application and Skill Assessment Package v

v.1aw1(C)US EPEC 2013

Office Use Only: dm___________ rsp1d_____________dr_______________o______________ v.1aw1(C)US EPEC 2013

Application and Skill Assessment Package

Check each box to indicate position(s) you are seeking and to refine your job search.

Name:________________________________________________________________________________________________________________________

Employment Status:________________________________________________ Cell-Phone:________________________________________________

Current Title:______________________________________________________ E-Mail:______________________________________________________

Promptly return application package with

resume by mail or fax to (281) 254-7942

Complete this questionnaire Sign and date application

Include your most current resume

1 2

3 4

Geologist Geophysicist Petrophysicist Geotechnical Engineer Geoscientist Geoscience Technician

Seismic Software Specialist Geochemis Cartography / Mapping

Geosciences

Process Engineer Reservoir Engineering Petroleum Engineering Production Engineering Drilling Engineering

Chemical Engineering Production Testing

Petroleum Engineering

Project Management Accounting or Finance Sales & Marketing Business Development Operations Management

Technical Sales Secretarial or Administrative Human Resources IT Analysis & Management Business Analyst

Contracts Administration IT Sys Admin & Support IT Software Development Executive IT Programming & Database

Instructor / Trainer Customer Service Commercial Management Financial Audit Document Control

Risk Management Facilities Management Asset Management IT SAP / ERP Legal Process Management

IT Networking & Telecom Payroll Energy / Commodity Trading Bookkeeper Graphics Design Landman

Camp Boss Technical Writing Research & Development PR / Corporate Communications Lease Analyst

Management / Support

Mechanical Engineering Electrical Engineering Instrument & Controls Engineer Design Engineer Project Engineer

Civil Engineering Structural Engineering Engineering Manager Pipeline Engineering Subsea Engineering

Piping Engineer CAD / CAM Rotating Equipment Technical Manager Metallurgist / Materials Engineering

Manufacturing Engineering Marine Engineering Engineering Technician Facilities Engineer Naval Architecture

Installation Engineer Hydraulic & Pneumatic Chemist Field Development PDMS / PDS Laboratory Ops / Tech

Umbilicals, Risers and Flowlines Floating Systems Modeling Physicist

Engineering & Science

Drilling Superintendent Toolpusher Driller Drilling Consultant Drilling Foreman Rig Manager

Drilling Manager Company Man OIM WellSite Supervisor Barge Engineer Rig Mechanic

Subsea Engineer Rig Electrician Storeman Directional Driller Motorman Derrickman Casing Floorhand

Roustabout Rig Instrument Tech Radioman Crew Chief Rig Mover Rig Welder

Drilling / Rig Personnel

Construction Engineer Commissioning Engineer / HUC Planner / Scheduler Supply Chain Management

Construction Manager Materials Management Contracts Engineer Purchasing Project Controls

Logistics Management Construction Superintendent Budget / Cost Control Warehouse Person Cost Engineer

Civil Construction Estimating Site Engineer Quantity Surveying Fabrication Inventory Control

Piping Supervisor Architect

Procurement & Construction

We are a member based organization and are here to represent our member’s needs and requirements

716 County Road 10 NE #316 Blaine, MN 55434

Page 2: Application and Skill Assessment Package v

Office Use Only: dm___________ rsp1d_____________dr_______________o______________ v.1aw1(C)US EPEC 2013

State(s) AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Any-All

Job location: Check each box to indicate the area you are seeking employment

We are a member based organization and are here to represent our member’s needs and requirementsv.1aw1(C)US EPEC 2013

I am also interested in an internship opportunity

Ships Engineer Captain / Master Ships Mate / Ofcer Marine Supervisor Dynamic Positioning Port Operations

ROV Ops / Tech Heavy Lift / Pipelay Ships Deckhand / Deck Crew Marine Surveying Barge Master Diving

Shipyard Offshore Position Surveying A B Seaman Navigator Ballast Control Oiler

Field Service Tech Well Servicing & Testing Coil Tubing Wireline Logging Surveying Process Control

Well Control Mud Engineer / Drilling Fluids Drafting MWD / LWD Slickline Field Comm / SCADA

Wireline Cementing Fishing Dispatcher Mud Logging Perforation Snubbing Catering

Dynamic Pressure Management (MPD / UBD)

Renery / Plant Operator LNG Renery Specialist Renery Staff Mechanical Technician

Process Technician Pipeline Services Oil Terminal / Storage Management Renery / Plant Operations Supervisor

Plant Operations Engineer Pipeline Operator Mechanical Supervisor Supply & Distribution

Production Operator Workover or Completion FPSO / FPU Fracturing Gas Plant Operations

Production Technologist Control Room Operations Stimulation

QA / QC / Inspection Maintenance Engineer Maintenance Technician Asset Integrity Engineer Corrosion Engineering

Certication Engineer NDT Technician Reliability Engineer Pipe Inspection / NDT Maintenance Manager

Painting / Coating / Blasting Noise & Vibration Control

Electrician Welder / Fitter / Turner Mechanic Heavy Machinery Operator Instrumentation Technologist

Electronics Tech Truck Driver Machinist Crane Operator Rigger / Scaffolding HVAC

Welding Superintendent Mining

HSE Manager / Advisor Safety Engineering Environmental Engineer Environmental, Safety & Training Safety Ofcer

Regulatory Compliance HSE Auditing Fire Protection Waste Management Emergency Response

Loss Prevention Paramedic / Nurse Security Client Representative Safety Training Rep

Maritime

Oileld Services

Rening & Petrochem

Production

Maintenance & Inspection

Trades

Health, Safety & Env. (HSE)

Other

716 County Road 10 NE #316 Blaine, MN 55434

Page 3: Application and Skill Assessment Package v

Office Use Only: dm___________ rsp1d_____________dr_______________o______________ v.1aw1(C)US EPEC 2013

USEPEC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, USEPEC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. USEPEC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of USEPEC’s employees to perform their job duties may result in discipline up to and including discharge.��

Certifications and/or TrainingProvide a list of any additional certifications and/or training NOT indicate on your current resume. Example: HUET, BOISET, OSHA 10 and OSHA 30, EBS, PEC, PPE certification, NCCER, IAD, etc______________________________________________________________________________________________________________________

�o�I am currently certified and trained to work in the position I am seeking. �o�I am Authorized to work in the US.

Comment____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ResumeBlast

USEPECCareerCenter

I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me, or for discharge should I be hired. I authorize any person, organization or company listed on this application to furnish you any and all information concerning my previous employment, education and qualifications for employment. I also authorize you to request and receive such information.

Signature Date____________________________________________________________

$39.00/MONTH

Includes!Resume Blast & Career Center

Fax (281) 254-7942

Automate and enhance your job seeking efforts!

More Impact-More coverage-More Interviews-More Job offers!

v.1aw1(C)US EPEC 2013

Your resume is submitted to our employermember database weekly. Submissions arebased on your job seeking inquires,qualifications and career objectives that youhave outlined in the skills assessment profile.

Instant notifications of jobs. Act Fast!

• Instant notifications of internships Act Fast!

• Your Resume gets viewed by1,000s of member employers

• Online Certification Course Discounts

• Oil & Gas Job Guide library

• Your own Career Advisor!

We are a member based organization and are here to represent our member’s needs and requirements

CARDHOLDER INFORMATION

Name: ______________________________________________

Billing Street Address: __________________________________

Street Address (cont.): _________________________________

City: ____________ State: ____________ Postal Code: _______

Country: _________________ Email ______________________

Direct Telephone: ( ) __________________________________

CREDIT CARD INFORMATION

Credit Card Type: □ MasterCard □ Visa □ American Express □ Discover Card

Number : _________________________________________________________

Expiration Month: _________________ Expiration Year: ___________________

Cardholder Signature X ___________________ Date ______________________ I authorize a monthly recurring charge of $39.00 against my credit card

Security Code: _____________________________

716 County Road 10 NE #316 Blaine, MN 55434