Catskill Remedial Contracting Services, Inc.

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. If you need help filling out this application form or for any phase of the employment process, please notify the person that gave you this form and every effort will be made to accomodate your needs in a reasonable amount of time.

1. Please read "Applicant Note" below.
2. Please complete all of this application.
3. If more space is needed to complete any question, please use the comments section at the end of this application.
4. Provide all requested information. Failure to do so may result in disqualification of your application.

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. Catskill Remedial Contracting Services, Inc. is an equal opportunity employer. All qualified applicants will receive consideration without regard to sex, race, color, age, national origin, sexual orientation, military or veteran status, ancestry, religion, marital status, arrest record, disabilities, genetic information, or any other characteristic protected by applicable law (any of which is a “Protected Characteristic”). Testing of job-related skills may be required prior to employment.

Include only individuals familiar with your work abilities. Do not include relatives or names of supervisors listed above.

If your school records are under a different name than what you listed above, please include this in the comments section at the end of this application.

I certify that I have read and understand the Applicant Note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts provided by me, whether on this application or otherwise, may result in rejection of my application or, withdrawal of an offer of employment, in the event employment is offered and accepted, discharge from employment.

I authorize Catskill Remedial Contracting Services, Inc. (the “Company”) to contact all former employers, persons, schools, and companies listed on this application or otherwise provided by me, as well as law enforcement authorities, and I release the Company, and all persons contacted by the Company, from any liability for any damage whatsoever for obtaining or providing this information in connection with my application for employment.

I understand that this application is not an employment contract. I understand that if I am offered and accept employment with the Company, my employment will not be for a definite term, and I will be an employee at-will. This means that my employment can be terminated (by me or by the Company) at any time, with or without advance notice, with or without cause. I understand that the terms and conditions of my employment can be changed by the Company at any time.