Employment Application   - Note: Aquila Resources Inc. is not currently hiring -   To apply for employment at Aquila Resources Inc. fill out the following application and click the submit application button. Applications are kept on file for six months.   Applicant Information Last Name First Name M.I. Date Street Address Apartment/Unit # City State Zip Code Phone Number E-mail Address Date Available Position Applied for Are you a citizen of the United States? Select yes no If no, are you authorized to work in the United States? Select yes no Have you ever worked for this company before? Select yes no If so, when? Have you ever been convicted of a felony? Select yes no If yes, explain? How were you referred to us?     Education High School Address From To Did you graduate? Select yes no Degree   College Address From To Did you graduate? Select yes no Degree   Other Address From To Did you graduate? Select yes no Degree     References Please list three professional references   Full Name Relationship         Company Phone         Address     Full Name Relationship         Company Phone         Address     Full Name Relationship         Company Phone         Address       Previous Employment Company Phone         Address Supervisor         Job Title Starting Salary Ending Salary         Responsibilities         From To Reason for Leaving         May we contact your previous supervisor for a reference?   Company Phone         Address Supervisor         Job Title Starting Salary Ending Salary         Responsibilities         From To Reason for Leaving         May we contact your previous supervisor for a reference?   Company Phone         Address Supervisor         Job Title Starting Salary Ending Salary         Responsibilities         From To Reason for Leaving         May we contact your previous supervisor for a reference?     Military Service Branch From To Rank at Discharge Type of Discharge If other than honorable, explain     Disclaimer By submitting this application I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

E807 Gerue Street Stephenson, MI  49887 877.753.9602 info@aquilaresources.com