Employment | Balers and Compactor

Applicant Name: *

First

Last

Address:

City:

State:

Zip Code:

Phone:

Email *

Employment Position:

Position(s) applying for: Part & or Full Time Employee/Note-this application will be used to help hire part or full time employees.

How did you hear about this position?

What days are you available for work?

If needed, are you available to work overtime?

On what date can you start working if you are hired?

Do you have reliable transportation to and from work?

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Do you have any condition which would require job accommodations?

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying. (Note: Baler and Compactor Services/BCS Repair complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )

High School Education:

Please include: Name, Location (City, State), Year Graduated, Degree Earned.

College or University:

Please include: Name, Location (City, State), Year Graduated, Degree Earned.

Vocational School/Specialized Training

Please include: Name, Location (City, State), Year Graduated, Degree Earned.

Military:

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Most Recent or Current Employment:

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Phone:

Dates Employed:

Reason for leaving:

Previous Employment 2

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Phone:

Dates Employed:

Reason for leaving:

Previous Employment 3

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

Employer Phone:

Dates Employed:

Reason for leaving:

Reference 1:

Reference 1 Phone:

Reference 1 Email:

Reference 2:

Reference 2 Phone:

Reference 2 Email:

Signature *

Typing your name above constitutes your signature. Please note: AT-WILL EMPLOYMENT The relationship between you and the Baler and Compactor Services/BCS Repair is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Baler and Compactor Services/BCS Repair. No representative of Baler and Compactor Services/BCS Repair, except the owner has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and the Company owner.