Damage Assessor Applicationhellman2024-08-14T12:57:53-04:00

Damage Assessor Application

Full Name*
First Middle Last
Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State ZIP Code
Email*
Cell Phone*
What is the best way to contact you for alerts and work assignments?*
- Call
- Text
Position Applied for:*
How Did You Hear About Us?
Are you a citizen of the United States?*
- Yes
- No
If no, are you authorized to work in the U.S.?*
- Yes
- No
Are you at least 18 years or older?*
- Yes
- No
Can you work any shift?*
- Yes
- No
Do you have a Smart Phone?*
- Yes
- No
Can you travel for multi-day assignments?*
- Yes
- No
Can you work a 12-16 hour day shift?*
- Yes
- No
Can you work a 12-16 night shift?*
- Yes
- No
Where are you located?
- Orange & Rockland Service Territory
- Central Hudson Service Territory
- Other
Skills for Administrators/Coordinators
Are you skilled at Word documents?*
- Yes
- No
Can you use Excel Spreadsheets?*
- Yes
- No
Can you use GPS on your smartphone?*
- Yes
- No
Can you use Email?*
- Yes
- No
Skills for Damage Assessors
Are you familiar with utility systems?*
- Yes
- No
Have you worked with overhead T&D?*
- Yes
- No
Have you worked as a Utility Lineman?*
- Yes
- No
Have you assessed damage before?*
- Yes
- No
Prior Work Experience:
List*
From To Company Position
Driver’s License Information
License Number:*
State:*
Expiration Date:*
Special Qualifications:
Consent To Release Records
DRIVER NAME*
(AS SHOWN ON LICENSE)
DL#*
DOB:*
By signing below, I voluntarily give consent to the New York State Department of Motor Vehicle (NYSDMV) to release the following record(s), including personal information within my driver license file. I request the record(s) indicated by my signature below to be released by the NYSDMV, their agents and employees, to All Bright Support Services:
DRIVER'S SIGNATURE OF CONSENT:
Emergency Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone**
Email*
Secondary Phone:
Relationship to Applicant:*
Disclaimer and Signature
Disclaimer and Signature Please read carefully before signing.

All Bright Support Services, Inc. is an equal opportunity employer. All Bright Support Services, Inc. does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for deployment establishes any obligation for All Bright Support Services, Inc. to contract with me. If I am deployed, I understand that either All Bright Support Services, Inc. or I can terminate my deployment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of All Bright Emergency Support Services, Inc. has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to All Bright Support Services, Inc. true and complete information on this application. No requested information has been concealed. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. A valid license and driving record will be checked.
Signature
Date
MM slash DD slash YYYY

From	To	Company	Position

Damage Assessor Application

Skills for Administrators/Coordinators

Skills for Damage Assessors

Prior Work Experience:

Driver’s License Information

Consent To Release Records

Emergency Contact Information

Disclaimer and Signature