970-256-7003 info@willowcreekcompanies.com HOME SAFETY SERVICES CONTACT US EMPLOYMENT EMPLOYMENT APPLICATION Interested in Employment at Willow Creek ? Come work with the best! Please fill out the form below. We’ll be in touch. Fields marked with an * are required Personal Information First Name * Last Name * Date of Birth * Email * Phone * SSN * Address 1 * Address 2 City * US State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip * What position are you applying for? Check All that Apply * Office HSE Supervisor General Labor Electrician Equipment Operator Foreman Superintendent Welder Welder Helper Other What area are you interested in working? Check all that apply. * Colorado New Mexico North Dakota Texas Utah Wyoming Certifications - List all that may apply If you have Safeland, Specify what type. PEC IADCA None Safeland ID Number Questionnaire Are you able to perform the essential functions of the position? * Yes No Are you legally eligible for employment in the United States? * Yes No Are you able to work Overtime? * Yes No Do you have a valid Driver's License? * Yes No Are you at least 18 years of age? * Yes No Are you at least 21 years of age? * Yes No Have you been subject to a heat related illness in the past? * Yes No Do you have more than 1-year experience in the related Pipeline, Facility, or Electrical Field? * Yes No Have you ever worked for Willow Creek? * Yes No Work History Employer 1 * Supervisor Name 1 * Supervisor Phone 1 * Previous Job Title 1 * Pay Rate 1: * Date Previous Job Started 1 * Date Previous Job Ended 1 * Previous Job Description 1 * Reason for Leaving 1 * Employer 2 * Supervisor Name 2 * Supervisor Phone 2 * Previous Job Title 2 * Pay Rate 2 * Date Previous Job Started 2 * Date Previous Job Ended 2 * Previous Job Description 2 * Reason for Leaving 2 * Employer 3 * Supervisor Name 3 * Supervisor Phone 3 * Previous Job Title 3 * Pay Rate 3 * Date Previous Job Started 3 * Date Previous Job Ended 3 * Previous Job Description 3 * Reason for Leaving 3 * May we contact your previous employers? * Yes No References Name 1 * Reference Relation 1 * Phone 1 * Name 2 * Reference Relation 2 * Phone 2 * Name 3 * Reference Relation 3 * Phone 3 * May we contact your references? * Yes No Leave us a Message! By clicking 'Submit', I certify that the answers and information provided are true and complete to the best of my knowledge. I authorize Willow Creek Companies and/or their agents to make investigations and inquiries of my personal, employment, financial, and related manners as necessary for an employment decision. I hereby release employers, schools, individuals, references from all liability when responding to inquiries connected to my application. In the event I am employed, I understand that false or misleading information given on my application or during interviews may result in immediate discharge for cause. EMPLOYMENT APPLICATION Interested in Employment at Willow Creek ? Come work with the best! Please fill out the form below. We’ll be in touch. Fields marked with an * are required Personal Information First Name * Last Name * Date of Birth * Email * Phone * SSN * Address 1 * Address 2 City * US State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip * What position are you applying for? Check All that Apply * Office HSE Supervisor General Labor Electrician Equipment Operator Foreman Superintendent Welder Welder Helper Other What area are you interested in working? Check all that apply. * Colorado New Mexico North Dakota Texas Utah Wyoming Certifications - List all that may apply If you have Safeland, Specify what type. PEC IADCA None Safeland ID Number Questionnaire Are you able to perform the essential functions of the position? * Yes No Are you legally eligible for employment in the United States? * Yes No Are you able to work Overtime? * Yes No Do you have a valid Driver's License? * Yes No Are you at least 18 years of age? * Yes No Are you at least 21 years of age? * Yes No Have you been subject to a heat related illness in the past? * Yes No Do you have more than 1-year experience in the related Pipeline, Facility, or Electrical Field? * Yes No Have you ever worked for Willow Creek? * Yes No Work History Employer 1 * Supervisor Name 1 * Supervisor Phone 1 * Previous Job Title 1 * Pay Rate 1: * Date Previous Job Started 1 * Date Previous Job Ended 1 * Previous Job Description 1 * Reason for Leaving 1 * Employer 2 * Supervisor Name 2 * Supervisor Phone 2 * Previous Job Title 2 * Pay Rate 2 * Date Previous Job Started 2 * Date Previous Job Ended 2 * Previous Job Description 2 * Reason for Leaving 2 * Employer 3 * Supervisor Name 3 * Supervisor Phone 3 * Previous Job Title 3 * Pay Rate 3 * Date Previous Job Started 3 * Date Previous Job Ended 3 * Previous Job Description 3 * Reason for Leaving 3 * May we contact your previous employers? * Yes No References Name 1 * Reference Relation 1 * Phone 1 * Name 2 * Reference Relation 2 * Phone 2 * Name 3 * Reference Relation 3 * Phone 3 * May we contact your references? * Yes No Leave us a Message! By clicking 'Submit', I certify that the answers and information provided are true and complete to the best of my knowledge. I authorize Willow Creek Companies and/or their agents to make investigations and inquiries of my personal, employment, financial, and related manners as necessary for an employment decision. I hereby release employers, schools, individuals, references from all liability when responding to inquiries connected to my application. In the event I am employed, I understand that false or misleading information given on my application or during interviews may result in immediate discharge for cause.