APPLICATION

PLEASE DO NOT CALL • Applications must be completed online

Applications not including references and work histories will not be considered

Applying For:

Engineer

Engineering Assistant

Other

Name:

Email address:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

US Citizen:

Yes

Felony Conviction:

Yes

Felony Explanation:

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

Yes

N/A

Obligation Explanation:

WORK EXPERIENCE

Position 1:

From-To:

Company:

Specifics:

Position 2:

From-To:

Company:

Specifics:

Position 3:

From-To:

Company:

Specifics:

EDUCATION

School 1:

Degree Program

Graduation Date:

School 2:

Degree Program

Graduation Date:

School 3:

Degree Program

Graduation Date:

Any Related Experience:

Are you willing to use your vehicle?

Yes

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

Yes

Have you ever experienced a lost time personal injury?

Yes

Lost Time Amount:

Have you ever been disciplined for a poor safety record?

Yes

Shirt size:

REFERENCES

Company 1:

Name:

Phone:

Email:

Company 2:

Name:

Phone:

Email:

Company 3:

Name:

Phone:

Email:

IMPORTANT: All applicants are required to complete a drug screening and background check.