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Please fill out the form below to be submitted for a jobs with

B & B Gas Well Services, LLC

Position(s) Applied for

First Name

Last Name

Street Address



Zip Code

E-Mail Address

Phone Number

Cell Phone Number

Date of Birth

Security Number

Do you have the legal right to work in the United States?

Can you provide proof of age?

Have you worked for B & B Gas Well Services, LLC before?

If yes, what dates and reason for leaving?

Are you now employed?

If no, how long since leaving last employment?

Who referred you?

Rate of pay expected?

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