Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




How many years of education have you completed?
Some college coursework
Two-year college degree
Four-year college degree
Education beyond a four-year college degree




If you have completed; or are pursuing a degreed program, which of the following best describes your major area of study?
Chemical research or engineering
Civil engineering
Enviromental engineering or environmental science studies
Health & Safety field
Other
More than one major area of study
Not applicable


Experience:




How many years experience do you have in the position for which you are interested?
No experience
Less than one year
At least 1 to 3 years
At least 4 to 6 years
At least 7 to 9 years
Ten or more years




Please select the type of business or industry that best matches your background experience:
Chemical or Pharmaceutical
Food Industry
Natural Resource Processing
Another Industrial Processing
Another Product Manufacturing
Environmental private service or consultant business
Related public service or governmental agency
Multiple business or industry experience
New to this field




Do you have experience in the chemical or toxic testing of processed natural resources such as bottled water, food products, oil and/or petroleum?
Yes
No




Do you have experience with the testing and certifying building products and materials- such as plumbing components, water filter and ventilation systems, or insulation material -- for environmental safety and public health certification?
Yes
No




Do you have experience researching profiling industrial processes - such as energy plant processes, industrial waste treatment plants, and/or hazardous waste containerization and disposal systems - for conformance to pollutant control levels standards?
Yes
No




Do you have experience performing qualitative and quantitative tests of organic, biological and other natural resources in the environment?
Yes
No




Do you have working knowledge of OSHA and EPA regulations and standards to perform and produce technical reports on medical & safety audits of a site - including industrial hygiene, emergency response system, and endemic disease assessments?
Yes
No




Do you have experience developing and implementing environmental health and safety programs in business or industry that contain hazardous chemical exposure and/or unacceptable pollutant levels?
Yes
No




Do you have field experience acting on public complaints regarding OSHA/EPA and/or FDA compliance issues?
Yes
No




Do you have experience working with a wide variety of customers in the field of environmental protection and/or hazardous waste management?
Yes
No




Do you have experience working with a team of researcher, analysts, chemists, lab tech and/or engineers on field project?
Yes
No




Do you have working knowledge of PC software applications to track projects, prepare reports and/or for field communications?
Yes
No




Do you have working knowledge of software applications to simulate engineering designs & design stability?
Yes
No




Do you have working knowledge of a wide range of chemical test instruments?
Yes
No




Select the response that best describes your level of managerial experience:
Coaching or Training
Team/Project Leader/Supvs.
Mid-Management level
Executive level
No managerial experience


General:




Are you at least 18 years of age and eligible to work in the United States?
Yes
No




Are you at least 16 years of age and eligible to work in the United States?
Yes
No




Are you interested in working full time or part time?
Full time
Part time




What type of employment are you willing to accept?
Regular
Long Term Contract
Other temporary
Any




If required for this position, how much time are you willing to travel?
No travel
Occasional travel
Travel often
Flexible




If extended an offer of employment, when would you be able to begin work?
Immediately
1 Week
2 Weeks
3 Weeks
4 Weeks or more




Whether you have indicated part-time or full time employment preference, please indicate what annual compensation level you are looking to receive:
Up to $20,000
In the $20,000
In the $30,000
In the $40,000 or above
In the $50,000 range
$60,000 range or above
Negotiable




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




When is the best time to reach you?
From 8:00 am - Noon
From Noon - 5:00 pm
From 5:00 pm - 8:00 pm




How many miles from your home are you willing to travel to work?
Up to 5 miles
Up to 10 miles
Up to 20 miles
Over 20 miles




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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