APPLICANT'S STATEMENT
I certify that the information provided in this application is true, to the best of my knowledge. I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the company. I understand that if I receive an offer of employment, my acceptance of that offer means I will be responsible for following all rules and regulations of the Company as they are published or amended from time to time in the Company’s sole discretion. I also understand that any offer of employment will be at-will, unless I receive a written document signed by the Managing Director of the Company indicating otherwise. I acknowledge that the company will be verifying the information contained in the application as well as conducting personal interviews of references and am aware that such investigations will become a part of my employment record. With this, I authorize the company to speak with my references, personal and professional, to gather information about me. I authorize the company to verify the accuracy of the information within this application. I also agree to provide the Company with my educational transcripts for education verification purposes if so requested. I release Oryx Oilfield Services, LLC and its employees, agents, and authorized representatives from any and all claims, damages, causes of action and any other liability arising from the collection and use of my personal information for the purpose of making an employment decision regarding my application for employment. This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.
BACKGROUND CHECK AUTHORIZATION
Oryx carefully selects quality employees. Background checks help to ensure that new employees have the skills for the job and have performed well in the past. Oryx conducts background checks on all job candidates after a contingent offer of employment has been extended. A background check may also be completed during reassignment or promotion of an employee. A third-party administrator may be used to conduct the background checks and all background checks will be compliant with applicable laws, such as the Fair Credit Reporting Act. The information that may be collected includes, but is not limited to: Criminal background, Employment history, Education, Credit, Professional and personal references and Driving History. Criminal background checks may not be used as the sole reason for denying employment unless it is job-related. Regardless, Oryx has the right to make the final decision about employing and or terminating an individual after the background check is complete. Note: Company Policy states an employee may not drive on a job site if he/she has more than 4 or more minor violations in the last 3 years; 1 or more major violation within the last 5 years or is convicted of a DUI or DWI within the last 5 years Checking professional and personal references is an important part of the background check process. This provides Oryx with information on the potential employee’s work ethic, skills, and performance. Information obtained from the background check process, including information from professional and personal references, will be used by Oryx only as part of the employment process and will be kept confidential by Human Resources. A background check may also be completed during reassignment or promotion of an employee. Please read and sign this form in the space provided below. Your written authorization is necessary for completion of the application process. I hereby authorize Oryx to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Oryx will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of Oryx’s choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.
WAGE DEDUCTION AUTHORIZATION
I understand and agree that Oryx may deduct money from my pay from time to time for reasons that fall into the following but may not be limited to the following categories: 1. Any contributions I may make into a retirement or pension plan sponsored, controlled, or managed by Oryx; 2. Installment payments on loans, credit, or wage advances given to me by Oryx, including the value of merchandise that I purchase or have purchased on my employee charge account, and if there is a balance remaining when I leave Oryx, the balance of such loans, store credit, or advances; 3. If I receive an overpayment of wages for any reason, repayment to Oryx of such overpayments; 4. Child support payments paid on employees behalf and not deducted previously; 5. The cost to Oryx of personal long-distance calls I may make on Company phones or on Company accounts, of personal faxes sent by me using Company equipment or Company accounts, or of non-work related access to the Internet or other computer networks by me using Company equipment or Company accounts; 6. The cost of repairing or replacing any Company supplies, materials, equipment, money, or other property that I may damage (other than normal wear and tear), lose, fail to return, or take without appropriate authorization from Oryx during my employment; 7. Administrative fees in connection with court-ordered garnishments or legally-required wage attachments of my pay, limited in extent to the amount or amounts allowed under applicable laws; 8. If I take time off in advance of the date I would normally be entitled to it and I separate from Oryx before accruing time to cover such advance leave, the value of such leave taken in advance that is not so covered; 9. The value of any time off for absences to which paid leave is not applied (non-exempt salaried employees will have all such unpaid leave deducted from their salary while exempt salaried employees will experience salary reductions only in units of a full day at a time); and 10. If my employer pays any insurance premiums or retirement system contributions (“payments”) on my behalf that I would normally make under the applicable Company benefit plan, the amount of such payments made by Oryx, such payments being an advance of future wages payable to me. 11. If my employer reimburses me for any educational classes or seminars not required by Oryx. 12. Any charges made to Oryx credit card for personal authorized and/or unauthorized charges. 13. Any charges made to Oryx fuel card for personal authorized and/or unauthorized charges. 14. Any monies taken from Oryx without proper authorization. 15. Any idle time occurrences lasting more than fifteen minutes (calculated at the sole discretion of Oryx Management). 16. If position is vacated within the first 90 days of employment, Oryx reserves the right to recoup monies expended on administrative and/or training costs, including but not limited to the cost of pre-employment drug testing, background checks, and welding tests if applicable. I agree that Oryx may deduct money from my pay under the above circumstances, or if any of the above situations occur. Return of Property Throughout the course of employment at Oryx, we may supply you with written materials, tools, supplies, or equipment. These items are your responsibility while in your possession and should be returned promptly if requested. It is also your responsibility to return these to Oryx upon termination of employment. The cost of items not returned will be deducted from your final paycheck to the extent allowed by law.
NON-DISCLOSURE AGREEMENT
I recognize that during the course of my employment with Oryx I may have access to information that Oryx considers to be confidential. This includes proprietary information, trade secrets, and intellectual property to which Oryx holds rights. By signing this agreement I promise not to provide this information to competitors or to use it to set up my own business. I agree to return any such confidential information or material when my employment with Oryx terminates. Non-disclosure Oryx has various types of confidential business information that must be protected. Employees are obligated to protect this information. Such confidential information includes, but is not limited to, the following examples: Financial information, Compensation data, Marketing strategies and information, Technological data, Trade secrets and Personnel data and payroll records. Employees who improperly use or disclose trade secrets or confidential business information will be subject to disciplinary action, including termination of employment and legal action, even if they did not actually benefit from the disclosed information.
EQUAL EMPLOYMENT OPPORTUNITY & ANTI-HARASSMENT
Please read the following statements and sign below to indicate your receipt and acknowledgement of Oryx’s Equal Employment Opportunity and Anti-Harassment Policy. 1. I have received and read Oryx’s Equal Employment Opportunity and Anti-Harassment Policies. I understand the policies and agree to abide by their terms. 2. I understand that Oryx will not tolerate discrimination or harassment in the workplace and violation of the policies may result in serious disciplinary action, up to and including immediate dismissal. 3. I am aware I have a duty to report misconduct in violation of the Equal Employment Opportunity and Anti-Harassment Policies and complaints should be directed to Management.
CONSENT TO DRUG AND/OR ALCOHOL TESTING
I hereby agree, upon a request made under the drug/alcohol testing policy of Oryx, to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis. I understand and agree that if I at any time refuse to submit to a drug or alcohol test under Company policy, or if I otherwise fail to cooperate with the testing procedures, I will be subject to immediate termination. I further authorize and give full permission to have Oryx and/or its Company physician send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to Oryx and/or to any governmental entity involved in a legal proceeding or investigation connected with the test. Finally, I authorize Oryx to disclose any documentation relating to such test to any governmental entity involved in a legal proceeding or investigation connected with the test. I will hold harmless Oryx, its Company physician, and any testing laboratory Oryx might use, meaning that I will not sue or hold responsible such parties for any alleged harm to me that might result from such testing. This including loss of employment or any other kind of adverse job action that might arise as a result of the drug or alcohol test even if a Company or laboratory representative makes an error in the administration or analysis of the test or the reporting of the results. I will further hold harmless Oryx, its Company physician, and any testing laboratory Oryx might use for any alleged harm to me that might result from the release or use of information or documentation relating to the drug or alcohol test as long as the release or use of the information is within the scope of this policy and the procedures as explained in the paragraph above. This policy and authorization have been explained to me in a language I understand and I have been told that if I have any questions about the test or the policy they will be answered. I UNDERSTAND THAT ORYX WILL REQUIRE A DRUG SCREEN TEST UNDER THIS POLICY WHENEVER I AM INVOLVED IN AN ON-THE-JOB ACCIDENT OR INJURY UNDER CIRCUMSTANCES THAT SUGGEST POSSIBLE INVOLVEMENT OR INFLUENCE OF DRUGS OR ALCOHOL.
DOT DRUG & ALCOHOL PLAN
I acknowledge, by signing this form, that my full compliance with the Anti-Drug and Alcohol Misuse Prevention Plan (the “Plan”) and DOT drug and alcohol regulation requirements is a condition of my initial and continued employment with the Company. I understand and agree that I may be discharged or otherwise disciplined for any drug and/or alcohol violation, committed by me, as cited in the Plan and/or in the DOT drug and alcohol regulatory requirements. I also acknowledge, by signing this form, that a copy of the Plan has been made available to me and that I have read and understand the requirements of the Company and DOT drug and alcohol program. I have also been provided with informational material on the dangers and problems of drug abuse and alcohol misuse.
PRIOR EMPLOYER TO RELEASE INFORMATION AUTHORIZATION
I hereby authorize any investigator or duly accredited representative of Oryx Oilfield Holdings, LLC (“Oryx”) bearing this release to obtain any information from schools, residential management agents, employers, criminal justice agencies, or individuals, relating to my activities. This information may include, but is not limited to, academic, residential, achievement, performance, attendance, personal history, disciplinary, arrest, and conviction records. I hereby direct you to release such information upon request of the bearer. I understand that the information released is for official use by Oryx and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities.