Application Form

Position of Interest

Safety Coordinator

Site Safety Representative

Safety Specialist

Safety Manager

Safety Consultant

Open to Any Fit

Employment Type Preferred

Full-time

Part-time

Project-based / contract

OSHA 30 Completed

Yes

No

Reliable Transportation

Yes

No

Available to Travel to Jobsites

Yes

No

Authorized to Work in the U.S.

Yes

No

Do you currently hold OSHA 30 for Construction?

Yes

No

Have you worked on active construction jobsites?

Yes

No

Are you comfortable working independently on-site?

Yes

No

Do you have experience with Cal/OSHA requirements?

Yes

No

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