Entry Level Technician

Social Security Number will be required to complete hiring process. Please have a copy ready to supply if an interview is scheduled.

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

Can you provide proof of age?

Have you worked for Jammie's Environmental before?

Do you have reliable transportation?

Did you graduate from High School?

Did you graduate from college?

Have you ever run a crew or been in a management position?

Is there any reason you might be unable to perform the functions of the job for which you have applied?

Addresses for the Past Three (3) Years

Employment History

Please provide the following information on all previous employers during the past (7) seven years. (List from the most recent)

Most recent employer

Previous Employer 2

Recent Employer 3

Do you have a VALID drivers License?

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Has any license, permit or privilege ever been suspended or revoked?

If the answer is YES to either of the two previous questions, please explain:

Professional Work References

Reference 1 Information

Reference 2 Information

Reference 3 Information

BY SUBMITTING THIS APPLICATION I AUTHORIZE THE FOLLOWING

I authorize Jammie’s Environmental to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Jammie’s Environmental.

I understand that information I provide regarding current and/ or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to:

• Review information provided by previous employers;

• Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and

• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

FAIR CREDIT REPORTING ACT DISCLOSURE STATEMENT

In accordance with the provisions of Section 604(b)(2)(A) of the Fair Credit Reporting Act, Public Law 91-508, as amended by the Consumer Credit Reporting Act of 1996 (Title II, Subtitle D, Chapter I, of Public Law 104-208), you are being informed that reports verifying your previous employment, previous drug and alcohol test results, and your driving record may be obtained on you for employment purposes. These reports are required by Sections 382.413, 391.23, and 391.25 of the Federal Motor Carrier Safety Regulations.

Submitting this application certifies that this application was read and completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.