Employment Application

It is the policy of Ardent Environmental Services, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

APPLICANT INFORMATION

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Years at this Address(Required)

Phone(Required)

Email(Required)

Social Security Number - Last 4 Digits

Driver's License Number(Required)

EMERGENCY CONTACT INFORMATION

Contact Name(Required)

First Last

Relationship to You(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

POSITION AND AVAILABILITY

Job Position Applied For(Required)

Please Choose Full or Part Time(Required)

Are you at least 18 years old?(Required)

How will you get to work?(Required)

Are you willing to work any shift, including nights and weekends?(Required)

If applicable, are you able to work overtime?(Required)

If applicable, are you able to travel and work out of town?(Required)

If you are offered employment, when would you be available to begin?(Required)

If hired, are you able to submit proof that you are legally eligible for employment in the United States?(Required)

SKILLS/YEARS EXPERIENCE/ABILITY LEVEL

Emergency Spill Response

Past Experience(Required)

Years of Experience(Required)

Skill Level(Required)

Waste Management

Past Experience(Required)

Years of Experience(Required)

Skill Level(Required)

Industrial Cleaning

Past Experience(Required)

Years of Experience(Required)

Please enter a number greater than or equal to 0.

Skill Level(Required)

Heavy Equipment Operation

Past Experience(Required)

Years of Experience(Required)

Please enter a number greater than or equal to 0.

Skill Level(Required)

CDL Operation

Past Experience(Required)

Years of Experience(Required)

Please enter a number greater than or equal to 0.

Skill Level(Required)

Field Crew Supervision

Past Experience(Required)

Years of Experience(Required)

Please enter a number greater than or equal to 0.

Skill Level(Required)

Project Management

Past Experience(Required)

Years of Experience(Required)

Please enter a number greater than or equal to 0.

Skill Level(Required)

EMPLOYMENT HISTORY

Please list jobs which you have held. List your current or most recent employment first and work backward in time.

Employer 1

Employer Name(Required)

Supervisor Name(Required)

First Last

Employer Address(Required)

Street Address Address Line 2 City State ZIP Code

Job Duties(Required)

Reason for Leaving(Required)

Start Date of Employment(Required)

End Date of Employment(Required)

Employer 2

Employer Name

Supervisor Name

First Last

Employer Address

Street Address Address Line 2 City State ZIP Code

Job Duties

Reason for Leaving

Start Date of Employment

End Date of Employment

Employer 3

Employer Name

Supervisor Name

First Last

Employer Address

Street Address Address Line 2 City State ZIP Code

Job Duties

Reason for Leaving

Start Date of Employment

End Date of Employment

Employer 4

Employer Name

Supervisor Name

First Last

Employer Address

Street Address Address Line 2 City State ZIP Code

Job Duties

Reason for Leaving

Start Date of Employment

End Date of Employment

EDUCATION/TRAINING/CERTIFICATIONS

College or University Attended

Degree Obtained

High School Attended

Did you receive diploma/GED?

Other Education or Training (graduate, technical, vocational)

Please indicate any current professional licenses or certifications that you hold.

OTHER INFORMATION AND EMPLOYMENT AGREEMENTS

Please provide any other information that you believe should be considered.

Are you bound by any agreements or post-employment obligations with any current or previous employer?(Required)

REFERENCES

Please list any two to three non-relatives who would be willing to provide a reference for you.

Reference 1

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Relationship(Required)

Reference 2

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Relationship(Required)

Reference 3

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Relationship

CERTIFICATION AND AUTHORIZATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Ardent Environmental Services, LLC (“the Company”) to obtain, or hire services to obtain, information about me from a consumer reporting agency for employment purposes. As part of obtaining this information, I understand and agree with the following:

I may be the subject of a “consumer report” which may include information about my character,general reputation, personal characteristics and/or mode of living, gathered by the consumerreporting agency and reported to the Company.
These reports may contain, but not be limited to, information regarding my criminal history, credithistory, motor vehicle records, verification of my education or employment history or otherbackground checks.
I release the Company and its agents from liability for damages that may arise from the release ofthis information, and I waive all previsions of law prohibiting the disclosure of information.
The Company and its agents cannot guarantee the accuracy of any information reported to it bythird parties, and I release the Company and its agents from liability for damages that arise fromerrors or omissions in this authorized inquiry of my information.

Further, I authorize the Company to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Principal, the employment relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Ardent Environmental Services, LLC, except in a specific written contract of employment signed on behalf of the organization by its Principal, has the power to alter or vary the voluntary nature of the employment relationship.

Fair Credit Reporting Act Disclosure StatementMotor Vehicle Records Examination

I authorize Ardent Environmental Services, LLC to conduct or hire services to conduct a MVR regarding my driver’s license/history. I authorize any parties contacted to release information to my employer or its agent (e.g., a consumer reporting agency) regarding my previous driving record, licenses, certifications, medical inquiries, history and any other information. I release all persons and entities from liability for damages that may arise from the release of this information. I waive all previsions of law prohibiting the disclosure of information.

I understand that Ardent Environmental Services, LLC and its agents cannot guarantee the accuracy of any information reported to it by third parties. I release Ardent Environmental Services, LLC and its agents from liability for damages that arise from errors or omissions in this authorized inquiry of my driving history and/or driver’s license.

Any applicant who refuses to complete this form, omits material facts, or provides false information, will not be considered to operate a vehicle while employed at Ardent Environmental Services, LLC.

Name(Required)

First Last

ENTERING YOUR FIRST AND LAST NAME WILL ACT AS YOUR DIGITAL SIGNATURE.

Drivers License Number(Required)

Date of Birth(Required)

Employment Application

APPLICANT INFORMATION

EMERGENCY CONTACT INFORMATION

POSITION AND AVAILABILITY

SKILLS/YEARS EXPERIENCE/ABILITY LEVEL

EMPLOYMENT HISTORY

Employer 1

Employer 2

Employer 3

Employer 4

EDUCATION/TRAINING/CERTIFICATIONS

OTHER INFORMATION AND EMPLOYMENT AGREEMENTS

REFERENCES

CERTIFICATION AND AUTHORIZATION

Fair Credit Reporting Act Disclosure StatementMotor Vehicle Records Examination

Locations

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