SELF IDENTIFICATION FORM

Applicants are considered for all positions for which they qualify without regard to race, color, religion, age, national origin, sex, sexual orientation, disability or any other legally protected status. Idea Drilling LLC complies with applicable federal and state laws, including affirmative action regulations and responsibilities.

This data is for periodic government reporting and your involvement is voluntary. Information gathered here is kept in a Confidential File separate from the Application for Employment. This form will not be used in considering and /or selecting applicants for employment. Not providing information on this form will not jeopardize or adversely affect any consideration you may receive for employment, or later advancement if employed. We ask you to fill this form out solely to assist us in compliance with required record keeping,

Select ONE option in each category below:


MaleFemale


Non VeteranSpecial Disabled VeteranVietnam Era VeteranOther Protected Veteran


Hispanic or Latino - A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of raceAmerican Indian or Alaskan Native (not Hispanic or Latino) - A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachmentAsian (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 VietnamBlack or African American (not Hispanic or Latino) -A person having origins in any of the Black racial groups of AfricaNative Hawaiian or Other Pacific Islander (not Hispanic or Latino) - A person having origins in any of the original peoplesWhite (not Hispanic or Latino) - A person having origins in any of the original peoples or Europe, North Africa, or the Middle EastTwo or More Races (not Hispanic or Latino) - All persons who identify with more than one of the above races


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IDEA Drilling is an Equal Opportunity Employer

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SPECIALISTS WITH OVER 100 YEARS OF EXPERIENCE IN EXPLORATION DRILLING

REQUEST A BID

SPECIALISTS WITH OVER 100 YEARS OF EXPERIENCE IN EXPLORATION DRILLING