Northwest

Oklahoma City Office

Phone: (405)-373-2979

Fax: (405)-787-2196

Address: 2900 W. Reno Ave.

Oklahoma City, OK 73107

Woodward Corporate Office

Phone: (580)-254-8070

Fax: (580)-254-3599

Address: 1125 40th Street, Suite B

Woodward, OK 73801

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

Union Application for Temporary Employment

Date of application*

Position applied for*

Last name*

First name*

Middle name

Social Security Number*

Other last names used

Email*

Address street*

Address apt

Address city*

Address state*

Address zip*

How long at this address?*

Phone number*

Date of birth*

Do you have the legal right to work in the United States? (Circle One)

Yes

No

Can you provide proof of age? (Circle One)

Yes

No

Have you ever worked for Northwest Crane Service before? (Circle One)

Yes

No

If so, last employment

Are you currently employed? (Circle One)

Yes

No

If no, how long since last employment?

Were you referred? (Circle One)

Yes

No

If so, by whom?

Are you currently a member of IUOE Local 627? (Circle One)

Yes

No

If no, what local?

Are you currently CCO Certified? (Circle One)

Yes

No

Is there any reason you might not be able to perform the job's functions? (Circle One)

Yes

No

If so, please explain

Northwest

Direct Deposit Approval

Date*

Name as it appears on account*

Routing Number*

Account Number*

Account Type*

Checking

Savings

Signature (type your full legal name)*

Northwest

Fall Protection/FRC Return Policy

Print name*

Signature (type your full legal name)*

Date*

Northwest

Emergency Contact Form

Name*

Address*

City*

State*

Zip*

Phone*

Date of Birth*

Emergency contact name*

Contact's phone number*

Relationship*

Federal Form W-4 (2026) — Employee's Withholding Certificate

Filing Status*

Single or Married Filing Separately

Married Filing Jointly or Qualifying Surviving Spouse

Head of Household

Step 2(c): I hold two jobs total

Step 3(a)

Step 3(b)

Step 4(a)

Step 4(b)

Step 4(c)

I claim exemption from withholding

Employee's signature*

Date*

Kansas Form K-4 — Employee's Withholding Allowance Certificate

Allowance Rate*

Single

Joint

Total number of allowances you are claiming*

Additional amount you want withheld from each paycheck (optional)

I claim exemption from Kansas withholding

Signature*

Date*

Form I-9 — Employment Eligibility Verification (Section 1)

Citizenship / Immigration Status*

A citizen of the United States

A noncitizen national of the United States

A lawful permanent resident

An alien authorized to work

USCIS or A-Number

Expiration Date (if any)

USCIS A-Number

Form I-94 Admission Number

Foreign Passport Number

Foreign Passport Country of Issuance

Signature of Employee*

Today's Date*

Did anyone help you complete Section 1?

I-9 Supplement A — Preparer/Translator (only if someone helped you complete Section 1)

Voluntary Self-Identification — EEO

Are you Hispanic, Latino, or of Spanish origin?*

Yes

No

Prefer not to answer

What is your race? (check all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

I prefer not to answer

Gender*

Female

Male

Prefer not to answer

Referral Detail

VEVRAA Veteran Self-Identification

Veteran status*

Identify as a protected veteran

Not a protected veteran

Prefer not to answer

Form CC-305 — Voluntary Self-Identification of Disability

Disability status*

Yes

No

Prefer not to answer

Disability signed date*

Employee ID (if applicable)