Sanitation Driver Position

Do you have a high school diploma or GED?

Yes

No

Check all that you are willing to work

Full Time

Part Time

Days

Evenings

Swing

Graveyard

Are you authorized to work in the U.S. on an unrestricted basis?

Yes

No

Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

Yes

No

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?

Yes

No

Can you perform these essential functions of the job with or without reasonable accommodation?

Yes

No

What position are you applying for? * (required)

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

Name of School

Type of School

High School

College

Bus. or Trade School

Professional School

Location of School

Degree Received

Major

Number of Years Completed

Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

Company

Company Address

Supervisor's Name

Phone

Duties

Reason For Leaving

Dates of Employment:

Start Date

End Date

May we contact your present employer?

Yes

No

Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

Name

Address

Phone

Relationship

Name

Address

Phone

Relationship

Name

Address

Phone

Relationship

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability.

The employer may contact any listed references on this application.

I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.