Consultant Interest Form

Thank you for your interest in Wilkerson Consulting, LLC! Please take a few moments to complete our interest form, so we know a little more about you.

* indicates required field

First Name*

Last Name*

Email Address

Phone Number*

1. Are you currently carrying your own insurance?*YesNo

If so, what are your limits for general liability, auto, professional and umbrella?

General Liability:

Commercial Auto:

Professional:

Umbrella:

Other:

If not, are you willing to get the proper coverage to meet Wilkerson Consulting, LLC requirements?YesNo

2. Are you willing to participate in our random drug and alcohol screening program?*YesNo

3. Have you had any safety or haz-mat incidents? If so, please explain.*YesNo

4. Do you have any consulting experience? If so, how many years.*YesNo

5. How many years of experience in the oilfield do you have?*

Are you interested in being featured as our Consultant of the Week? We send out a weekly e-mail to engineers and superintendents in the industry, which highlights three facts about a consultant and includes their resume.*YesNo

6. Please list three things that you pride yourself on or that make you unique as a consultant.*

Please complete the following based on your experience:

State/Country

Formation/Basin

Types of Wells

Drilling Experience

Completions Experience

Please upload your resume*

By submitting this form, you confirm all information above to be accurate. Upon submission, your information will be directly sent to us and no further action is needed.

Thank you! Your submission has been received!

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