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COVID-19 Disinfection
(800) 482-6765
Home
About
Services
Emergency Response
Disinfection Services
Environmental Services
Industrial Services
Products
Manufacturing & Equipment Sales/Rental
Resources
News & Blogs
Research & Information
Contact
Employment
Payments
COVID-19 Disinfection
(800) 482-6765
Home
Employment
Employment
Application Form
The following information is requested in order to help us make the best placement within the company. All portions of this application pertaining to you must be completed. We appreciate the time you spend in filling in this application form. AMPOL, in accordance with the State and Federal laws, does not discriminate on the bases of age, religion, sex, national origin, marital status, physical or mental handicap or arrest record.
Application Date
*
Date Format: MM slash DD slash YYYY
Name
*
First
Last
Primary Phone Number
*
Secondary Phone Number
Email Address
*
Address
*
Street Address
Apartment Number
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip
Required Annual Salary
*
Are you legally eligible for employment in the United States:
*
Yes
No
Do you have a Transportation Workers Identification Card (TWIC):
*
Yes
No
Are you at least 21 years of age:
*
Yes
No
Do you possess 40-hour HAZWOPER certification:
*
Yes
No
If yes, is your HAZWOPER certification valid:
*
Yes
No
Do you have a valid Passport:
*
Yes
No
Do you have a valid Drivers License:
*
Yes
No
If yes, what state is your Drivers License issued through:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
If yes, what Class is your Drivers License:
A
B
C
D
M
CDL
Has your license or driving privileges ever been suspended or revoked:
*
Yes
No
Have you ever applied for a position with AMPOL:
*
Yes
No
If yes, when:
Date Format: MM slash DD slash YYYY
Have you ever been employed by AMPOL:
*
Yes
No
Employment Start Date:
Date Format: MM slash DD slash YYYY
Employment End Date:
Date Format: MM slash DD slash YYYY
Position you are applying for:
*
Shop Hand
HAZMAT Technician
Foreman
Supervisor
Administrative Assistant
Invoicing
Payroll
Captain
Deckhand
Project Estimator
Industrial Insulator/Metal Worker
Fabrication Welder
Other
Only apply for a position that is listed. We do not accept or keep applications on file for positions that we are currently not seeking to fill.
Desired duration:
*
Full-time
Part-time
Summer
Temporary
Are you able to work away from home for at least two or more weeks at a time:
*
Yes
No
Courses taken that may be applicable to position for which you are applying:
List additional interest, skills, and qualifications:
Upload a résumé here:
Accepted file types: docx, doc, txt, rtf, pdf.
Accepted file types are .docx, .doc, .txt, .rtf, .pdf
