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Application for Workers & Resource Providers
Application for Workers & Resource Providers
By
William Lombardo
on
April 28, 2010
Apply
This form is NOT for volunteers. It is only for paid individual workers, subcontractors or providers of resources (boats, oil spill or earth moving equipment) who can work for an
extended period.
You are applying direct with Risk Management Disaster Service Inc., a contracting firm who needs workers to complete our projects.
State(s) You Will Consider Work In
*
Alabama
Florida
Louisiana
Mississippi
Texas
If selected to work away from your home you will receive hotel and meal compensation.
Check the resources you can provide:
*
I am an individual unskilled worker for hire
I am an individual skilled worker for hire
I represent a subcontracting company with employees
Commercial vessel
Small boat (flat bottom or low draft)
Oil containment boom
Oil dispersant/equipment
Earth moving equipment
Labor Description
Are you legally eligible to work in the U.S.A.?
Yes
No
You will later be asked for proof of verification
Earliest Date You Can Begin Work
Certifications / Training / Hazwoper (optional)
Describe relevant training or certifications (such as HAZWOPER and TWIC regarding oil)
Describe your capabilities and any qualifications you wish to bring to our attention
If invited to work you may complete a longer application form
Upload Resume (optional)
Upload your resume file
Subcontractor Information
Nature of Your Business
*
Date you can begin work
Number of workers you can provide for oil spill work
*
Number of workers with HAZWOPER certification
Check any your firm has experience with...
Offshore oil spill operations
Onshore oil spill cleanup
Hazardous cleanup
Environmental issues
Explain why your firm should be hired
#1 Commercial Vessel or Small Boat
You can add a second vessel /boat after describing this first one.
Type
Commercial Vessel
Small Boat
Hull Material
Aluminum
Carbon Fiber / Kevlar
Fiberglass
Plastic
Steel
Wood
Other
Which Apply?
Boat is in water at a harbor
Boat can be trailered to a launch ramp
State Where Located
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
City Where Located
*
Vessel Type
*
Length in Feet
*
Enter only numbers
Draft in Feet
Enter only numbers
Horsepower
Enter only numbers
Can you supply the following needed in marshes?
Airboat
Barge
Landing craft (front ramp opens)
Pontoon boat
Houseboat
Check any oil skimmers you can provide (optional):
Weir type skimmer
Disc skimmer
Brush skimmer
Drum skimmer
Rope mop
What is your boat commonly used for? How may it be used for oil spill cleanup efforts?
Describe Available Crew
License (optional)
Captain's license info etc.
Oil Boom
Is Your Boom...
*
Owned by you in your possession
Purchased by you, not yet in hand
Neither (broker, etc.)
Date You Can Deliver
Boom Is For...
*
Sale
Lease
Boom Sizes You Can Supply
*
Under 10"
10" to 17"
18" to 35"
36+"
Boom Feet
Boom Manufacturer
Describe Your Boom (welded, glued, fire resistant, fabric, etc.)
Oil Dispersant Equipment
Date You Can Deliver
Describe Your Dispersant Equipment
*
Earth Moving Equipment
Please describe the equipment you have in hand to work on oil spill cleanup
# of loaders
# bobcats
# wheel loaders
# dozers
# dump trucks
# excavators
# rubber tire loaders
# tub grinders
Morookas (rubber tread vehicles)
# generators
Contact Info
Your personal info lets us provide work and opportunities to you. We do not sell info to others.
Email
*
We will email all opportunities and instructions to you.
Land Phone
Mobile Phone
Name
*
First
Last
Company (if applicable)
Address
*
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Website (optional)
Type two words (prevents computer spam)
Can't see the words? To see two new words cick the New Challenge button (top button with two circular arrows)
Posted in
Apply Online
William Lombardo
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