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USIC – Job Fair – 10/21/2021
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Job Fair - Oct 21, 2021
Please complete the form.
Job Application
Name
*
First
Last
Address
*
Street Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZIP Code
Email
*
Phone
*
Hidden
Position Applying For
How did you find us?
*
Craigslist
Facebook
Glassdoor
Indeed
KELOH
LinkedIn
Local Community Event
Military Referral
Military Site
Newspaper
Radio
Referral
Talroo
USIC Truck
Workforce
YouTube
ZipRecruiter
Website
Other
Referred By
Compensation
Desired Pay per Hour
Please enter a number from
11
to
50
.
Availability and Fit
Date Available to Start
MM slash DD slash YYYY
If needed, are you able/willing to commute? How Far?
Are you available to work both days on the weekend?
Yes
No
If no, please list what days you are not available and why
Are you available to work an on-call rotation?
Yes
No
Are you willing to work overtime as needed?
Yes
No
Why do think you would be a good fit for this position?
Do you have any outdoor experience?
Basic Qualifications
Are you at least 18 years of age and legally authorized to work in the U.S.?
*
Yes
No
Are you able and willing to work an on-call rotation?
*
The service we provide requires 24/7 emergency availability for someone in each group (on-call rotation).
Yes
No
Are you willing to work overtime as needed?
*
Overtime is a potential essential job function.
Yes
No
Are you able to repeatedly bend, reach, walk and lift up to 75 lbs. with or without a reasonable accommodation?
*
This position requires you to repeatedly bend, reach, walk and lift up to 75 lbs.
Yes
No
Are you able and willing (with or without a reasonable accommodation) to set up manhole equipment, remove manhole lid, and climb up/down a ladder to depth of 20+ ft?
*
Yes
No
Do you have a valid driver's license?
*
USIC will run a Motor Vehicle Record check to verify your driving record.
Yes
No
Do you have prior utility industry/locating experience?
*
Yes
No
Have you ever employed by USIC, CUS, Safe Site, Premier Utility Services, Blood Hound or On Target?
*
Yes
No
Are you currently working?
*
Yes
No
Company Name
Date Employed
MM slash DD slash YYYY
Last day employed (if applicable)
MM slash DD slash YYYY
Title
Job Duties
Reason for leaving
Please describe your past 3 years of work experience.
*
Have you had any previous safety training?
*
Yes
No
How would your previous employer rank your safety record?
Great; No safety violations
Average; 1-2 safety violations
Poor; 3 or more safety violations
Have you ever been disciplined for violating a safety procedure? Briefly Explain.
Do you have experience reading blueprints or maps?
Rate your ability to navigate unfamiliar cities (Potentially without the use of GPS)
How often do you use a computer?
How often do you use a smartphone?
With training, how confident are you with using a computer applications for work?
What are some of the computer programs or apps you use most often?
TERMS AND CONDITIONS OF APPLICATION
Consent
*
I understand that USIC, LLC is an Equal Opportunity Employer. I understand that the Company’s policy is not to discriminate against any applicant or employee based on race, color, national origin, religion, sex, age, disability, genetic information, veteran status or any other basis protected by applicable federal, state or local law. I understand that USIC, LLC also prohibits harassment of applicants and employees based on any of these protected categories. I understand that USIC, LLC will comply with its legal obligation to provide reasonable accommodation to qualified individuals with disabilities. I understand that smoking is prohibited in all indoor areas of USIC, LLC, unless a particular location has established a designated smoking area in accordance with applicable state and local law. I understand that a resume may be provided but does not substitute for completion of this portion of the application process. I certify that all of the information furnished during the application process is TRUE, CORRECT and COMPLETE to the best of my knowledge. I understand that any misrepresentations or omission of facts called for may result in refusal to hire, or, if USIC, LLC hires me, such misrepresentations or omissions may result in my dismissal at any time, regardless of when the false answer or omissions are discovered. I agree to submit to legally permissible drug testing upon an offer of employment from USIC, LLC and prior to starting work. I agree that any offer of employment is contingent upon my receiving a negative test result. I understand and expressly agree that if USIC, LLC employs me, the Company may investigate storage and work areas provided for me (locker, desk, vehicle, etc.) without giving me prior notice. I understand that, if USIC, LLC offers me employment, I may be required to sign a confidentiality agreement as a condition of employment. I understand that USIC, LLC may share any information provided or collected during the application process with other USIC, LLC employees for employment and administrative purposes, and I consent to such transfer. I certify that I am not bound by any employment contract or non-competition agreement that would be breached by any employment that might be offered to me by USIC, LLC, nor am I in possession of, nor will I at any time reveal to USIC, LLC, under any circumstances, any proprietary or confidential information that is the subject of any contract, non-disclosure agreement or prior work relationship involving any other person or entity. I understand that, according to federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and United States citizen status or, if aliens, their legal authorization to work in the United States. As a consequence, I understand that any offer of employment to me by USIC, LLC is contingent upon my ability to produce the required documentation within the time period required by law. I understand that the application process is not, and is not intended to be, a contract of employment. I also understand that, unless I am employed subject to a collective bargaining agreement, any employment relationship with USIC, LLC will not be for a fixed period of time, and either USIC, LLC or I may terminate such employment at any time and for any reason. In other words, I will be an at-will employee. I further understand that statements contained in policies, practices, benefit plans, handbooks, or other USIC, LLC materials do not create any guarantee of employment. I further understand that USIC, LLC has the right to modify, amend, or terminate policies, practices, benefit plans, or other programs within the limits and requirements imposed by law. I understand that no representative of USIC, LLC, other than an officer, has the authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing and that any such agreement must be in writing to be binding on USIC, LLC. I understand that USIC, LLC will not administer or require me to submit to a lie detector test as a condition of prospective employment. Massachusetts Applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Maryland Applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT THAT ANY INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. ANY INFORMATION PROVIDED DURING THE APPLICATION PROCESS WILL ONLY BE CONSIDERED ACTIVE FOR SIX MONTHS. IF YOU HAVE NOT BEEN HIRED WITHIN SIX MONTHS AND YOU WISH TO CONTINUE TO BE CONSIDERED FOR EMPLOYMENT, YOU MAY BE ASKED TO VERIFY ANY INFORMATION PROVIDED DURING THE APPLICATION PROCESS, OR MAY BE ASKED TO RESTART THE APPLICATION PROCESS. Please print and retain a copy of these Applicant Terms and Conditions for your records.
I agree to these Terms and Conditions
*
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