Storm Services - Job Opportunities Engineer

Applying For:

Damage Assessor

Driver/Assistant Assessor

Storeroom/Forklift

Wire Guard

PLEASE NOTE: Assessor applicants should have previous experience at an utility in operations. Drivers and Assistant Assessors must have PC skills and be able to use an app. Forklift operators require current certification. Wire Guards should have previous Police, Fire Department or Assistant Assessor experience.

Name:

Email address:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

US Citizen:

Yes

No

Felony Conviction:

Yes

No

Felony Explanation:

Any Obligation preventing you from working for Storm Services as a sub-contractor:

Yes

No

Obligation Explanation:

WORK EXPERIENCE

Position 1:

From-To:

Company:

Specifics:

Position 2:

From-To:

Company:

Specifics:

Position 3:

From-To:

Company:

Specifics:

CERTIFICATION

CDL:

Yes

No

CPR:

Yes

No

Forklift Certified:

Yes

No

Other Certifications:

Are you willing to use your vehicle?

Yes

No

Rental car companies require that you are 25-years old or older. If you do not meet this requirement are you willing to provide your own transportation.

Yes

No

Name of Insurance:

Number of at fault accidents in the past two years:

Driver's License Number:

Driver's License State:

Driver's License Expires:

Nearest Airport:

Have you ever experienced a lost time personal injury?

Yes

No

Lost Time Amount:

Physically capable of working extended hours and able to walk over various terrain.

Yes

No

Have you ever been disciplined for a poor safety record?

Yes

No

Shirt/Vest size:

XS

S

M

L

XL

2X

3X

REFERENCES

Company 1:

Name:

Phone:

Email:

Company 2:

Name:

Phone:

Email:

Company 3:

Name:

Phone:

Email:

APPLICATION

PLEASE DO NOT CALL • Applications must be completed online