SOS Septic and Sewer - EmploymentApplication

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APPLICATION FOR EMPLOYMENT We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap or national origin.
PERSONAL INFORMATION
Full Name:
Today's Date:
Email Address:
Complete Address:
Phone Number:
Alternate Phone:
Referred By:
Are you 18 years of age or older?		Yes No
EMPLOYMENT DESIRED
Position Desired:
Date you can start:
Salary Desired:
Are you Employed Now?		Yes No
If So May We Inquire of Your Present Employer?		Yes No
Ever Applied to this Company Before?		Yes No
If Yes, when and where?
EDUCATION
Grammar School Name and Location:
High School Name and Location:
Last Year Completed:		1 2 3 4
Did You Graduate?		Yes No
College Name and Location
Last Year Completed:		1 2 3 4
Did You Graduate?		Yes No
Trade, Business or Correspondence School:
Last Year Completed:		1 2 3 4
Did You Graduate?		Yes No
GENERAL
Subjects of Special Study or Research Work:
Job Related Skills (typing, Drivers license, etc.):
Activities other than Religious (Civic, Athletic, etc.):
FORMER EMPLOYERS List below your last four employers, starting with the last one first.
Start Date:
End Date:
Name and Address of Employer:
Salary (Upon Leaving)
Position:
Reason for Leaving
Start Date:
End Date:
Name and Address of Employer
Salary (Upon leaving)
Position
Reason for Leaving:
Start Date:
End Date:
Name and Address of Employer:
Salary (Upon leaving):
Position:
Reason for Leaving:
Start Date:
End Date:
Name and Address of Employer:
Salary (upon leaving):
Position:
Reason for Leaving:
REFERENCES List below three persons not related to you, whom you have known at least one year.
Name, City, State, Phone, years known:
Name, City, State, Phone, years known:
Name, City, State, Phone, years known:
If you are to be hired by the company, you will be required to attest to your identity and empolyment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements. AUTHORIZATION I certify that the facts contained in this application (and accompanying resume if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusual to hire, or dismissal if I have been employed, no matter when discovered by the Company. I understand that any employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure, in addition, I release the Company, any former employers and all references listed above form any and all claims, demands or liabilites arising out of or related to such investigation or discosure. I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, any employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or gaurantee is binding upon the Company unbless made in writing. If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Comany and as permitted by law. I consent to such examniations and tests, and I request that the examining doctor disclose to the Company the relusts of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Compay's Drug and Alcohol Policy. I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise its policies or procedures, in whole or in part at any time.
By selecting this box, and entering the LAST FOUR digits of my social security number, I am submitting these as my electronic signature and authorize the Company to investigate the information being submitted on this application for employment.		Part one of two for Electric Signature Authorization
Part two of two for Electric Signature Authorization- LAST FOUR OF YOUR SOCIAL SECURITY NUMBER ONLY:
Upon hitting submit, you will be redirected to a different page, and then redirected back to this page, and it will not be filled out. Do not interupt the process or your application will not be submitted.

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