Name

Email

Address (Street, City, State/Province, Zip Code, Country)

Primary phone number

Secondary phone number

Wage desired Wage desired$30,000-40,000 annual salary$40,000-50,000 annual salary$50,000-60,000 annual salary> $60,000 annual salary

Position desired Position desiredProject GeologistSenior GeologistData AnalystData ManagerOperationsBusiness DevelopmentHuman ResourcesOther

What is your available start date?

Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Are you legally able to be employed in the U.S. and/or Canada? Are you legally able to be employed in the U.S. and/or Canada? Both U.S. only Canada only Neither

What is your highest level of education completed? What is your highest level of education completed? High School Diploma/GEDTrade School or Technical School DiplomaAssociates DegreeBachelor's DegreeMaster's DegreePhD/DoctorateOther

Please provide your school information (Name, City, State/Province, Country, Completion Date MM/YY)

Please list any current certifications you may have:

Are you presently under a Non-Competition, Trade Secret, Non-Disclosure, Non-Interference, or Confidentiality Agreement with any current or past employer or entity? Are you presently under a Non-Competition, Trade Secret, Non-Disclosure, Non-Interference, or Confidentiality Agreement with any current or past employer or entity? No Yes; please explain below

Please explain any work conflicts you may have:

Are you able to perform the essential duties and functions of the job for which you are applying? Are you able to perform the essential duties and functions of the job for which you are applying? Yes No; please explain below

Please explain any work performance limitations you may have:

What is your interest in exploration geology?

How did you hear about Big Rock? Who is Big Rock and what do they do?

Why would you make a good team Big Rock member?

Do you have any experience or understanding of financial management and market analysis?

Please describe your work ethic and professional motivations:

What are your career goals?

What is the greatest asset you bring to the workforce?

Please describe how you manage your time and work tasks:

Please explain your ability to think independently and solve problems:

How do you see yourself growing with Big Rock?

All applicants for employment are judged solely on the basis of qualification and ability without regard to age, sex, race, national origin, religion, sexual orientation, marital status, disability, veteran status, or other classifications protected by law. I acknowledge that Big Rock Exploration, LLC follows an employment-at-will policy, such that I or the Company may terminate my employment at any time for any reason. I understand that this application is not a contract of employment. I understand that to be employed, I must be lawfully authorized to work in the United States and show the Company documentation that will prove this. I understand and agree that my previous employers may be contacted. I fully consent to and understand that Big Rock Exploration, LLC may request information from public and private sources about any of the information noted on my application. I hereby authorize, without reservation, any financial institution, credit agency, information service bureau, school, employer or insurance company contacted by Big Rock Exploration, LLC to furnish the information described herein at any time during the application process and/or during any employment. I release them from all liability for doing so. I certify that all the statements herein are true and accurate and understand that any falsification or omission shall result in dismissal. All applicants for employment are judged solely on the basis of qualification and ability without regard to age, sex, race, national origin, religion, sexual orientation, marital status, disability, veteran status, or other classifications protected by law. I acknowledge that Big Rock Exploration, LLC follows an employment-at-will policy, such that I or the Company may terminate my employment at any time for any reason. I understand that this application is not a contract of employment. I understand that to be employed, I must be lawfully authorized to work in the United States and show the Company documentation that will prove this. I understand and agree that my previous employers may be contacted. I fully consent to and understand that Big Rock Exploration, LLC may request information from public and private sources about any of the information noted on my application. I hereby authorize, without reservation, any financial institution, credit agency, information service bureau, school, employer or insurance company contacted by Big Rock Exploration, LLC to furnish the information described herein at any time during the application process and/or during any employment. I release them from all liability for doing so. I certify that all the statements herein are true and accurate and understand that any falsification or omission shall result in dismissal. By checking this box I acknowledge that all of my responses above are true and complete to best of my knowledge.

Please type your full legal name to certify the submission of the above application and responses.

Please provide the date of your application submission (DD/MM/YY)