Vesta Mine Supply and Services Fireboss Application Form
For certified applicants with required mine foreman /fireboss credentials.
Personal Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Availability
Preferred Work Location and Shift, if applicable
Previous Employers
Previous Work Experience/Summary
Can you meet Mine-Site Requirements?
Yes
No
Unsure
NA
Do you understand that Vesta Mine Supply and Vesta Mine Services may perform employment and random drug and alcohol testing?
Please Select
Yes
Do you understand that Vesta Mine Supply and Vesta Mine Services will require safety training for all positions?
Please Select
Yes
PA Fireboss Certification?
WV Fireboss Certification?
Mine Foreman Certification?
Years of Underground Mining Experience
Mine Sites Worked
Additional Information (optional)
Document Upload
Attach resume and/or certifications
Upload Your Documents
*
Upload a File
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of
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