TRAVELING HEAVY EQUIPMENT OPERATOR

Name *

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Last Name

Address *

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Address 2

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Phone *

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Are you willing to travel regularly and with short notice? *

YES

NO

Degree completed

Check the days you are available for work: *

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Start Date

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End Date

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Note to applicants: The following is a brief job description. *

Summary/Objective The heavy equipment operator operates a variety equipment and trucks used in construction, maintenance and repair activities and performs a variety of semiskilled tasks in the construction of landfills. Essential Functions Operates construction or power equipment, such as backhoe, man-lift, dump truck, bulldozer, road grater, front-end loader, hydraulic excavators, skid steers, packers etc. All heavy equipment operators will be required to perform ground work from time to time this will include picking up rocks, sticks and roots as well as using a manual shovel. Performs all duties in conformance to appropriate safety and security standards. Work Environment While performing the duties of this job, the employee regularly works in outside weather conditions including but not limited to hot, cold, wet, dry. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Additional Information All heavy equipment jobs will require you to work out of town for a minimum of (5) days at a time with the possibility of working over-time and weekends and travel from site to site. Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

YES

NO

Applicant Agreement *

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. 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 the employer. I understand that if offered a position with CBP Environmental, Inc., I may be required to submit to a post-employment offer background check, post-employment offer drug test and, post-employment offer fit for duty physical as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these post-employment offer checks will result in withdrawal of any employment offer or termination of employment if already employed.

AGREE

DISAGREE

Applicant Acknowledgement *

This document is a part of the application for employment and must be signed by the applicant to verify acknowledgment of notification of required drug and alcohol testing. Regulations require that an applicant for safety sensitive functions be notified that he/she will be tested for the presence of marijuana, cocaine, PCP, amphetamines, and opiates before performing any safety sensitive duties. All employment offered at CBP Environmental, Inc. are considered safety sensitive position, all applicant will have to submit to a pre-employment urine drug test and receive a verified negative drug rest result, before they can perform any safety sensitive duties. Additionally, upon being hired to perform safety sensitive duties, an employee will also be subject to alcohol testing. Have you ever tested positive or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the applicant applied for, but did not obtain, safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two year.

AGREE

DISAGREE

Applicant Signature *

First Name

Last Name