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Application for Employment

An Equal Opptunity Employer

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Personal Information:

* We may refuse to hire relatives of present employees if doing so could result in actual or potential problems in supervision, security, safety, morale, or if doing so could create conflicts of interest.

Have you ever applied for or worked for Castlerock Environmental before?
Are you able to perform the essential functions of the job you are applying for either with or without reasonable accomdation?

(Note: We comply with the ADA and consider reasonable accomodation measures that may be necesaary for eligible applicants/employees to perform)

What hours are you available?
Will you work overtime if required?
Do you smoke?
Do you have reliable transportation at any hour of the day or night?
Do you have a valid California Driver's License?


List all Training Certificates and Expiration Dates


List name and telephone number of three business/work references who are not related to you and are not your supervisors

Please read carefully, Initial Each Paragraph and Sign Below:

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any comission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I hereby authorize Castlerock Environmental, Inc to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company's designated representative.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

The Company will consider qualified applicants, including those with criminal histories, in a manner consistent with state and local "Fair Chance" laws.

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Certification of Vaccination

The purpose of this form is to take steps to prevent the spread of COVID-19, to protect the health and safety of all Federal employees, onsite contractors, visitors to Federal buildings or Federally controlled indoor workspaces, and other individuals interacting with the Federal workforce. If you fail to submit this signed attestation or any required negative COVID-19 test, you may be denied entry to a Federal facility and/or job site.

My Vaccination Status

By checking the box below, I declare that the following statement is true:
I understand that if I decline to respond or am not fully vaccinated, I must comply with the following safety protocols while in a Federal facility and/or Federal Job Site:

I sign this document under penalty of perjury that the above is true and correct, and that I am the person named below. Checking "I decline to respond" does not constitute a false statement. I understand that if I am a Federal employee or contractor making a false statement on this form could result in additional administrative action including an adverse personnel action up to and including removal from my position or removal from a contract.

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Notice to Federal Contractors: Consistent with guidance from the Centers for Disease Control and Prevention (CDC) and the Safer Federal Workforce Task Force, has established specific safety protocols for fully vaccinated people and not fully vaccinated people, respectively. In areas of low or moderate transmission, as defined by CDC, fully vaccinated people generally can safely participate in most activities, indoor or outdoor, without needing to wear a mask or maintain physical distance, and do not need to undertake regular testing-please note that

  1. The Centers for Disease Control and Prevention considers an individual fully vaccinated if they are:
    • 2 weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or
    • 2 weeks after a single-dose vaccine, such as Johnson & Johnson's Janssen vaccine
  2. If you don't meet these requirements, regardless of your age, you are not fully vaccinated. Either I have received my first dose of Moderna or Pfizer, and my second appointment is scheduled, or I received my final dose less than two weeks ago.
  3. If you are not vaccinated due to medical or religious reasons, please check either "I have not been vaccinated" or "I decline to respond." In areas of high or substantial transmission, everyone, including fully vaccinated people, must wear a mask consistent with Federal requirements.

Must wear a mask consistent with Federal requirements.

This field is for validation purposes and should be left unchanged.