Application for employment

Personal Information

Please provide your full name, phone number, email, and address to help us contact you.

First Name

Last Name

Phone Number

Email Address

Address Information

Address

City

Zip

Did someone refer you to us?

If someone referred you to this opportunity, please enter their name below. This helps us acknowledge and appreciate our community connections.

Referred By

Employment History

Please list your current or most recent job first, including all types of employment such as self-employment, summer, and part-time jobs.

Company

Position

Wage

Dates Employed

Professional References

List two former supervisors and one additional non-relative who can attest to your qualifications for the role you are applying for.

Supervisor

Company

Phone Number

Email Address

Additional information required

Please answer the following questions to help us ensure compliance with our policies and legal requirements.

Will Visa or immigration status prevent lawful employment? Yes No

Do you have a current physical respirator card? Yes No

May we contact your present employer? Yes No

Do you have any relative(s) currently employed by Eagle Environmental? Yes No

Have you been convicted of any crimes other than minor traffic violations during the past seven years? Yes No

Will you consent to medical/respiratory exam, drug screen and background check (if required by Eagle)? Yes No

Qualifications and preferences

Please provide additional details regarding your qualifications, availability, and past experiences to better assess your fit for the position

Do you hold a current asbestos certification? Yes No

Would you be willing to work other than the day shift? Yes No

Have you previously been employed by Eagle Environmental? Yes No

Do you have any disabilities or health problems that may affect your ability to perform the job applied for, or which you would like the Company to consider in determining your job placement? Yes No