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The Cancer Instituteis now hiring for a team-oriented and compassionate part-time Medical Assistant to work as a float between our Boise, Nampa, and Caldwell clinics!
Position Summary & HighlightsThis MA position will act as a float between the Boise, Nampa and Caldwell medical oncology and radiation oncology clinic locations and will support multiple providers at the Cancer Institute.
This position will work at our Boise, Nampa, and Caldwell clinic locations to help cover for sick calls, PTO, lab support, and scheduling needs including treatment scheduling. See clinic location details below.
The Saint Alphonsus Cancer Institute is proud to be the leading cancer program in Idaho and Eastern Oregon. Our committed team of oncologists and surgeons use advanced technology to provide the highest quality of care for all types of cancer, treating it at the earliest stage.
We offer advanced diagnostic tools like low-dose CT and 3D imaging, precision radiation therapies, and integrated care plans and support programs. These help provide seamless care for patients and families.
Saint Alphonsus also holds the region's largest clinical trials.
You will coordinate and partner with the clinical care team to help support all aspects of patient care while patients are undergoing treatment.
This may include complete chart prep, assist patients with moving within the clinics, rooming and taking vitals, and setting up for procedures.
You will also work a lot on the computer including items in the work queue, scheduling new patients, scheduling patients for procedures, related appointments, and follow up visits and complete related paperwork.
You will also be crossed trained in the Radiation Oncology clinic.
An ideal candidate will be proficient, detail-oriented, and knowledgeable and enjoy a fast-paced environment.
You will have strong experience with EPIC and knowledge of orders.
You will also desire being part of a strong team and enjoy connecting with patients and developing relationships with them.
30 hours/week: 3 -10 hour shifts, during the work week. Variable days off.
Around the hours of 7:30am - 6:00pm. Clinic start and end time can vary based on physician's schedule.
Work schedule is released 5 - 6 weeks in advance.
This position will NOT work weekends or major holidays.
Boise Clinic: 1055 N. Curtis Road, Boise, Idaho 83706 (I-184 & Curtis Road)
Nampa Clinic: 4400 E. Flamingo Ave. Ste. 130, Nampa, Idaho 83687 (Garrity Road Exit & Flamingo Ave.)
Caldwell Clinic: 3123 Medical Dr. Suites A and B, Caldwell, ID 83605
Requirements:
High School Diploma or equivalent required at hire.
MA certification required within 90 days of hire from one of the following Saint Alphonsus approved agencies:
American Association of Medical Assistants (CMA)
American Medical Technologists (RMA)
National Healthcare Association (CCMA)
National Center for Competency Testing (NCMA)
National Association of Health Professionals (NRCMA)
American Medical Certification Association (CMAC)
National Phlebotomy Certification Examination (NPCE MA)
New Graduates: 1) MA certificate of completion required from an accredited program or school. 2) Completion of either a 100-hour MA externship or 6 months MA experience in lieu of the externship hours even with MA certification.
Medical Assistant with Experience: 1 Year of MA experience OR Current MA Certification OR obtain or renew certification within 90 days from hire from approved credentialing agencies listed above.
Basic Life Support for Healthcare providers certification from either AHA, ARC or the Military Training Network is required at hire.
*Obtaining the MA certification typically requires completing an MA Program or working as a Medical Assistant for at least 1 year. See each of the credentialing organization sites for additional details. EMT and CNA certifications will not count towards an MA certification.
When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.
Visit to learn more!
Saint Alphonsus Facility Information:Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
Forbes America's Best Large Employers 2025;
Forbes America's Best Employers for Healthcare Professionals 2025;
Top 15 Health Systems in the country by IBM Watson Health;
The region’s most advanced Trauma Center (Level II);
Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
- Multiple Location Duration: 6 Month (Temp to Hire) Location: zip codes Farthest N 34222 (Ellenton) & farthest S 34293 (Venice, FL) Description:
*** Must be 21+ years old
*** M, T, W, TH, F, Sat (9-5:30) zip codes Farthest N 34222 (Ellenton) & farthest S 34293 (Venice, FL) It’s 5days a week with a possible rotating Thursday off and work Saturday.
Please add the cites of Bradenton, Sarasota & Venice? I only ask because My southern most account in Venice would be 40-45min South of that.
The Merchandiser is responsible for performing merchandising activities, constructing displays and/or stocking of Southern Glazer’s products in retail accounts as requested by sales teams or retail customers.
The Merchandiser will install promotional point-of-sale materials to achieve display objectives and/or stock products as needed.
Will require to drive their personal vehicle to multiple stores/locations within a day and/or throughout the week.
Duties and Responsibilities Build displays and update pricing and special offers within an assigned territory Maintain positive relationships with retail customers Ensure all company products are properly displayed Install point-of-sale materials as directed Stock products on shelves, displays and/or cold boxes as necessary Perform other job-related duties as assigned Minimum Qualifications High school diploma or equivalency plus 1 years of experience Must possess a reliable vehicle, a valid drivers’ license and the ability to obtain and maintain auto liability insurance in accordance with State laws Preferred Qualifications Apprised of federal, state and local laws affecting the beverage/alcohol industry within account responsibility Physical Demands Physical demands with activity or condition for occasional sitting and typing/keyboarding using a computer (e.g., keyboard, mouse, and monitor) or adding machine Physical demands with activity or condition may include frequent walking, bending, reaching, standing, and stooping May require occasional lifting/lowering, pushing, carrying, or pulling up to 50lbs
We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth.
Find your future with us.Boeing Commercial Airplanes is excited to offer opportunities for a Numerical Control Multiple Tool
- Milling Machine Operator to join our Fabrication team in Everett and Renton, Washington.As a Numerical Control Multiple Tool-Milling Machine Operator, your role will involve operating advanced milling machines with precision, ensuring that all components are produced to the highest standards.
You will be responsible for maintaining a safe working environment by adhering to established safety protocols and best practices while preparing and adjusting machinery for optimal performance.
Your attention to detail and ability to interpret technical documents will be essential in ensuring that every part meets stringent specifications.You will play a critical role in upholding our commitment to safety and quality standards, ensuring that all operations meet regulatory compliance and operational excellence.
If you are detail-oriented, possess strong technical skills, and thrive in a collaborative environment, we invite you to apply and be a part of our mission to deliver excellence in aviation.Position Responsibilities:Set up, operate, and adjust numerically controlled milling machines, utilizing various control media, program documents, holding fixtures, and cutting tools, or manually entering required data to meet quality requirementsObtain information from drawings, documents, sketches, and verbal instructions to prepare for machining operationsMake necessary preparations and adjustments to ready the machine for operation, including installing various cutting tools during machining cycles as authorizedUse measuring instruments and gauges to check cutting tools and parts for conformance to specifications and printsAssist planners or programmers in determining the final numerical control program as authorizedMount and check cutting tools in holders, ensuring proper loading in machine magazines or spindlesInitiate requests for corrective action in the event of machine malfunctions and detect faulty tools, taking corrective action in accordance with shop practicesLoad, preload, and manually position fixtures at designated program stopsPhysical Demands and Potential Hazards:Perform physical tasks that include lifting weights ranging from 10-15 lbs to 15-35 lbsEngage in various movements such as reaching, handling, turning, twisting, lifting, lowering, climbing, balancing, bending, kneeling, crouching, and squattingWork in environments that may involve contact with metals, solvents, and coolantsOperate in proximity to moving parts and tools, sharp cutters, and potential slipping hazardsAdapt to varying noise levels and atmospheric conditions.Utilize personal safety gear to protect face/eyes, hands/arms, and feet while performing job dutiesThis position is expected to be 100% onsite.
The selected candidate will be required to work onsite at one of the listed location options.This position must meet Export Control compliance requirements, therefore a “US Person” as defined by 22 C.F.R.
§ 120.62 is required.
“US Person” includes US Citizen, lawful permanent resident, refugee, or asyleeCurrent Boeing employees working in Puget Sound must submit an Employee Request Transfer (ERT) to be considered in the eligible candidate pool.
Resumes of current Puget Sound Boeing employees submitted via Careers at Boeing will not be considered.Basic Qualifications1+ Years of experience using precision measuring tools1+ Years of experience as a machine operator, writing and editing CNC programs1+ Years of experience using a computer such as internet navigation, email, Microsoft Office and/or other specialized computer applications1+ Years of experience reading and interpreting blueprint and assembly instructions or drawings1+ Years of experience operating 3, 4, or 5 axis NC/CNC machine toolsAbility to lift, push, and pull up to 35 poundsPreferred Qualifications:Experience working with and around hazardous materials (while using the proper protective equipment)Typical Education & Experience:High school graduate or GED preferred.Relocation:Relocation assistance is not a negotiable benefit for this position.
Candidates must live in the immediate area or relocate at their own expenseDrug Free Workplace:Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.Union Representation Statement:This is an hourly position governed by the International Association of Machinists (IAM-751) Collective Bargaining agreement.Shift Work Statement:This position is for a variety of shiftsTotal Rewards & Pay Transparency:At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities. The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.Pay: $31.32/hour, with the potential to earn up to $59.47/hour in accordance with the terms of the relevant collective bargaining agreement.Applications for this position will be accepted until Mar.
31, 2026Language Requirements English PreferredRelocation Relocation assistance is not a negotiable benefit for this position.Visa Sponsorship Employer will not sponsor applicants for employment visa status.Shift This position is for variable shiftEqual Opportunity Employer:Boeing is an Equal Opportunity Employer.
Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.
LocationAtlanta, Georgia
Full/Part TimeFull-Time
Regular/TemporaryRegular
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About Us
About Georgia Tech
Georgia Tech is a top-ranked public research university situated in the heart of Atlanta, a diverse and vibrant city with numerous economic and cultural strengths. The Institute serves more than 45,000 students through top-ranked undergraduate, graduate, and executive programs in engineering, computing, science, business, design, and liberal arts. Georgia Tech's faculty attracted more than $1.4 billion in research awards this past year in fields ranging from biomedical technology to artificial intelligence, energy, sustainability, semiconductors, neuroscience, and national security. Georgia Tech ranks among the nation's top 20 universities for research and development spending and No. 1 among institutions without a medical school.
Georgia Tech's Mission and Values
Georgia Tech's mission is to develop leaders who advance technology and improve the human condition. The Institute has nine key values that are foundational to everything we do:
1. Students are our top priority.
2. We strive for excellence.
3. We thrive on diversity.
4. We celebrate collaboration.
5. We champion innovation.
6. We safeguard freedom of inquiry and expression.
7. We nurture the wellbeing of our community.
8. We act ethically.
9. We are responsible stewards.
Over the next decade, Georgia Tech will become an example of inclusive innovation, a leading technological research university of unmatched scale, relentlessly committed to serving the public good; breaking new ground in addressing the biggest local, national, and global challenges and opportunities of our time; making technology broadly accessible; and developing exceptional, principled leaders from all backgrounds ready to produce novel ideas and create solutions with real human impact.
Location
Atlanta, Georgia
Department Information
About the Writing and Communication Program at the Georgia Institute of Technology
A unit of the School of Literature, Media, and Communication (LMC), WCP teaches over 6,000 students a year in first-year composition, business/technical communication, research writing, and learning support. Committed to excellent teaching and faculty professional development, WCP is the winner of multiple awards in 2020, 2021 and 2022.
Job Summary
The Writing and Communication Program (WCP) in the School of Literature, Media, and Communication at the Georgia Institute of Technology invites applications for multiple Lecturer positions, effective August 1, 2026. Lecturers in the Writing and Communication Program teach a 3/3 in writing classes, pursue relevant research, and provide service to the Program and Institute. This is a faculty position with full benefits that is renewable annually. Candidates are expected to demonstrate an exceptional commitment to the teaching and mentoring of students.
In addition to full faculty benefits, including health insurance and retirement, Georgia Tech has a career track that affords successful lecturers the possibility to apply for promotion, first to Senior Lecturer and then to Principal Lecturer.
Lectures primarily teach first-year writing and technical communication. Courses in our first-year writing program combine the instructors area of research expertise with the commitments to rhetoric, process and multimodality that unites and defines WCP courses.
Georgia Tech prides itself on its technological resources, collaborations, high-quality student body, and its commitment to building an outstanding and diverse community of learning, discovery, and creation. We strongly encourage applicants whose values align with our institutional values, as outlined in our Strategic Plan. These values include academic excellence, diversity of thought and experience, inquiry and innovation, collaboration and community, and ethical behavior and stewardship. Georgia Tech has policies to promote a healthy work-life balance and is aware that attracting faculty may require meeting the needs of two careers.
Required Qualifications
Master's degree in Writing Studies, Rhetoric and Composition, Technical Communication, English or related field at time of appointment
Preferred Qualifications
PhD in Writing Studies, Rhetoric and Composition, Technical Communication, English or related field at time of appointment
Preferred candidates for consideration will have:
At least five years of experience teaching first-year writing and/or technical communication.
- Demonstrated professional commitment to the teaching of writing.
- Demonstrated professional engagement with the scholarship of the teaching of writing.
- Evidence of excellent teaching
We are particularly interested in faculty who have a professional commitment / scholarly expertise in the following areas:
- Technical Communication and Professional Writing
- Writing Program Administration
- Pedagogies of Digital Writing
- Developmental Writing
Proposed Salary
The salary for this position is $60,000-70,000 per academic year (nine-months).
Required Documents to Attach
Interested and qualified individuals should apply by submitting a curriculum vita, a letter of application that specifically addresses their qualifications to work in a multimodal writing program, and a list of three references.
An earned master's degree is required by the start of the appointment.
Apply Before Date
Please apply by March 1 for optimal consideration. Review of applications will continue until all vacant positions are filled.
Contact Information
Requests for information may be directed to Search Chair Dr. Caitlin Kelly at
USG Core Values
The University System of Georgia is comprised of our 25 institutions of higher education and learning as well as the System Office. Our USG Statement of Core Values are Integrity, Excellence, Accountability, and Respect. These values serve as the foundation for all that we do as an organization, and each USG community member is responsible for demonstrating and upholding these standards. More details on the USG Statement of Core Values and Code of Conduct are available in USG Board Policy 8.2.18.1.2 and can be found on-line at policymanual/section8/C224/#p8.2.18_personnel_conduct.
Additionally, USG supports Freedom of Expression as stated in Board Policy 6.5 Freedom of Expression and Academic Freedom found on-line at policymanual/section6/C2653.
Equal Employment Opportunity
The Georgia Institute of Technology (Georgia Tech) is an Equal Employment Opportunity Employer. The Institute is committed to maintaining a fair and respectful environment for all. To that end, and in accordance with federal and state law, Board of Regents policy, and Institute policy, Georgia Tech provides equal opportunity to all faculty, staff, students, and all other members of the Georgia Tech community, including applicants for admission and/or employment, contractors, volunteers, and participants in institutional programs, activities, or services. Georgia Tech complies with all applicable laws and regulations governing equal opportunity in the workplace and in educational activities.
Equal opportunity and decisions based on merit are fundamental values of the University System of Georgia ("USG") and Georgia Tech. Georgia Tech prohibits discrimination, including discriminatory harassment, on the basis of an individual's race, ethnicity, ancestry, color, religion, sex (including pregnancy), national origin, age, disability, genetics, or veteran status in its programs, activities, employment, and admissions. Further, Georgia Tech prohibits citizenship status, immigration status, and national origin discrimination in hiring, firing, and recruitment, except where such restrictions are required in order to comply with law, regulation, executive order, or Attorney General directive, or where they are required by Federal, State, or local government contract.
Other Information
This is not a supervisory position.
This position does not have any financial responsibilities.
This position will not be required to drive.
This role is not considered a position of trust.
This position does not require a purchasing card (P-Card).
This position will not travel
This position does not require security clearance.
Background Check
The candidate of choice will be required to pass a pre-employment background screening. employment/pre-employment-screening.
Geriatric Value-Based Medicine
- Multiple Locations Employed physician group is seeking BC/BE physicians to join their value-based clinics Family Medicine, Internal Medicine, and Geriatricians encouraged to apply.
Geriatric interest required Competitive salary and bonus structure offered
- experienced providers can earn at least 300K in first year Multiple opportunities available: Arizona, Nevada, Virginia, Indiana, Kentucky, South Carolina, Louisiana, Tennessee, Texas, and North Carolina Extended appointment times allow providers to spend quality time with patients Average patient volume 10-12 per day Monday
- Friday schedule from 8 am to 5 pm Some positions to require candidate to be bilingual in Spanish and English Clinics are setup with both provider and patient in mind
- larger hallways, larger exam rooms to include families, exam tables that manipulate to accommodate all patients EMR: eClinicalWorks HEDIS experience a plus but not required Full benefits package offered including occurrence-based malpractice coverage, potential stipend, very competitive sign-on bonus, and more! No visa sponsorship available
Geriatric Value-Based Medicine
- Multiple Locations Employed physician group is seeking BC/BE physicians to join their value-based clinics Family Medicine, Internal Medicine, and Geriatricians encouraged to apply.
Geriatric interest required Competitive salary and bonus structure offered
- experienced providers can earn at least 300K in first year Multiple opportunities available: Arizona, Nevada, Virginia, Indiana, Kentucky, South Carolina, Louisiana, Tennessee, Texas, and North Carolina Extended appointment times allow providers to spend quality time with patients Average patient volume 10-12 per day Monday
- Friday schedule from 8 am to 5 pm Some positions to require candidate to be bilingual in Spanish and English Clinics are setup with both provider and patient in mind
- larger hallways, larger exam rooms to include families, exam tables that manipulate to accommodate all patients EMR: eClinicalWorks HEDIS experience a plus but not required Full benefits package offered including occurrence-based malpractice coverage, potential stipend, very competitive sign-on bonus, and more! No visa sponsorship available
Geriatric Value-Based Medicine
- Multiple Locations Employed physician group is seeking BC/BE physicians to join their value-based clinics Family Medicine, Internal Medicine, and Geriatricians encouraged to apply.
Geriatric interest required Competitive salary and bonus structure offered
- experienced providers can earn at least 300K in first year Multiple opportunities available: Arizona, Nevada, Virginia, Indiana, Kentucky, South Carolina, Louisiana, Tennessee, Texas, and North Carolina Extended appointment times allow providers to spend quality time with patients Average patient volume 10-12 per day Monday
- Friday schedule from 8 am to 5 pm Some positions to require candidate to be bilingual in Spanish and English Clinics are setup with both provider and patient in mind
- larger hallways, larger exam rooms to include families, exam tables that manipulate to accommodate all patients EMR: eClinicalWorks HEDIS experience a plus but not required Full benefits package offered including occurrence-based malpractice coverage, potential stipend, very competitive sign-on bonus, and more! No visa sponsorship available
Geriatric Value-Based Medicine
- Multiple Locations Employed physician group is seeking BC/BE physicians to join their value-based clinics Family Medicine, Internal Medicine, and Geriatricians encouraged to apply.
Geriatric interest required Competitive salary and bonus structure offered
- experienced providers can earn at least 300K in first year Multiple opportunities available: Arizona, Nevada, Virginia, Indiana, Kentucky, South Carolina, Louisiana, Tennessee, Texas, and North Carolina Extended appointment times allow providers to spend quality time with patients Average patient volume 10-12 per day Monday
- Friday schedule from 8 am to 5 pm Some positions to require candidate to be bilingual in Spanish and English Clinics are setup with both provider and patient in mind
- larger hallways, larger exam rooms to include families, exam tables that manipulate to accommodate all patients EMR: eClinicalWorks HEDIS experience a plus but not required Full benefits package offered including occurrence-based malpractice coverage, potential stipend, very competitive sign-on bonus, and more! No visa sponsorship available
Locum/Permanent MD/DO Family PracticeLocation: Multiple Locations, OklahomaMomentum Healthcare Staffing is seeking board-certified or board-eligible Family Practice Physicians (MD/DO) for locum or permanent opportunities across multiple sites in Oklahoma.
This flexible position allows you to choose from various practice settings based on your availability and preferencewhether you are seeking short-term locum coverage or a long-term permanent role.Key Responsibilities:Provide outpatient primary care services for patients of all agesDiagnose and manage a wide range of acute and chronic conditionsDeliver preventive and wellness careCollaborate with multidisciplinary teams to ensure quality outcomesQualifications:Board-certified or board-eligible in Family MedicineActive or eligible Oklahoma medical licenseStrong clinical and communication skillsFlexibility to adapt to different practice environmentsCompensation & Benefits (Locum):Competitive locum ratesPaid travel and lodgingMalpractice coverage providedCompensation & Benefits (Permanent):Competitive salary with productivity incentivesFull benefits package (medical, dental, vision, life, disability)Malpractice insurance with tailCME allowance and paid time offSign-on bonus and relocation assistanceThese opportunities span urban and rural Oklahoma locations, offering a variety of work environments to suit your lifestyle and professional goals.
Reach out to Momentum Healthcare Staffing today to discuss openings that match your preferences
Job Description
Stand-Up Forklift Operator - Multiple Shifts Available
Arctic Cold Storage - Saint Cloud, MN
$22-$25/hour | Full-Time | Overtime Available
Arctic Cold Storage is hiring experienced Forklift Operators to join our fast-paced, team-oriented warehouse. If you're reliable, safety-focused, and looking for a stable opportunity with a growing, locally owned company — we want to hear from you! Stand Up and/or Loading Experience is a Bonus!
Available Shifts
* Evening Shift: Monday-Friday, 4:30 PM - 1:00 AM
* Day Shift: Sunday-Wednesday, 5:30 AM - 4:00 PM
* Day Shift: Wednesday-Saturday, 5:30 AM - 4:00 PM
(Overtime available but not mandatory)
Key Responsibilities
* Operate stand-up forklifts safely and efficiently
* Perform replenishment, receiving, picking, loading, unloading, and stacking
* Transport product throughout a cold storage warehouse (36°ree;F)
* Follow all safety policies and procedures
* Maintain cleanliness and organization of work areas
* Assist with other warehouse duties as assigned
Qualifications
* Previous forklift experience REQUIRED (stand-up preferred)
* Experienced loaders are highly encouraged to apply
* Strong attention to detail and commitment to safety
* Ability to work in refrigerated environments
* Reliable attendance and strong teamwork mindset
What We Offer
* Competitive pay: $22-$25/hour
* Full benefits: Health, Dental, Vision, Life Insurance
* 401(k) retirement plan
* Paid Time Off & Paid Holidays
* Company-provided cold weather gear
* Annual boot voucher
* Modern equipment and technology
* Career advancement opportunities
* Quarterly team appreciation events
* Supportive leadership and low turnover