Big Form -

Which crew are you applying for?

Midwest (based in Traverse City, MI) East Coast (based in Baltimore, MD) Either

If hired, can you provide proof that you are legally able to work in the United States?

Yes No

Who referred you to International Cover Systems?

Friend Other

How would you like to be contacted?

Email Phone Text Any

Are you over 18 years of age?

Yes No

When are you available to begin work?

EMPLOYMENT HISTORY:

Present or Most Recent Position and Previous Position

May We Contact?

Yes No

May We Contact?

Yes No

References:

Reference 1

Current Skill Level:

1. Are you looking for full time (50-52 weeks/year) or seasonal employment (less than 50 weeks/year)?

Full Time Seasonal

2. Can you lift and carry 75lbs when necessary?

Yes No

3. Are you able to work outside of the normal commute radius? (i.e. overnight with the crew 200+ miles from home)

Yes No

4. Do you have three or more months experience in the geosynthetics industry?

Yes No

5. Have you ever performed geosynthetic welding utilizing DemTech welding equipment?

Yes No

6. Do you possess the skills to set up both a wedge and extrusion welder for PVC and Polyethylene?

Yes No

7. Do you possess the skills to set up both a wedge and extrusion welder for PVC, Polyethylene and RPP?

Yes No

8. Are you an IAGI certified welder?

Yes No

9. Are you willing to perform a proctored exam to demonstrate your skill level?

Yes No

List any machines you can operate:

What knowledge, special skills and/or individual capabilities do you have which especially prepare you for the position applied for?

Are you able to perform the essential functions of the job for which you are applying? (Note: We comply with the Americans with Disabilities Act and will consider reasonable accommodation measures that may be necessary for eligible applicants to perform essential functions:)

APPLICANT'S STATEMENT

(Check each statement as read)

I understand that a credit and/or background check may be required for my employment with International Cover Systems. In such cases, International Cover Systems will provide executed consent forms to obtain permission for said credit and/or background checks.

The information that I have provided on this application is accurate to the best of my knowledge and may be verified by International Cover Systems. or its agents.

I authorize all the schools, persons and organizations named in this application to provide any relevant information in their possession or knowledge to the agents of International Cover Systems, for use in deciding whether or not to offer me employment and specifically waive any required written notification. I hereby release International Cover Systems, my former employers and all other persons from any and all claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.

I understand that International Cover Systems is committed to maintaining a drug and alcohol free work place. Accordingly, I may be subject to a pre-employment blood test, urinalysis or other drug/alcohol screening. My consent to submit to such a test is required as a condition of employment and my refusal to consent shall result in a refusal to hire or, if already employed, termination.

I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery.

I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or International Cover Systems. There will be no agreement, express or implied between International Cover Systems and me for any specific period of employment, nor for continuing or long term employment, unless made in writing, signed by an authorized representative of International Cover Systems.

I have placed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.

INTERNATIONAL COVER SYSTEMS

EMPLOYMENT APPLICATION

PERSONAL INFORMATION:

EMPLOYMENT HISTORY:

References:

Current Skill Level:

APPLICANT'S STATEMENT