General Simple Application | Homewood Disposal Service

All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, age, physical or mental handicap unrelated to ability, or an unfavorable discharge from military service. Homewood Disposal Service, Inc. will comply with its obligations to provide reasonable accommodations to qualified individuals with disabilities.

Homewood Disposal DOES perform current and historical employment checks. If you DO NOT want your current employer to be contacted, please make sure to reference that in your application below.

Name*

First Middle Last

Current Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address (If Different than Current Address)

Street Address Address Line 2 City State ZIP Code

Position You are Applying for*

Phone*

Email*

Today's Date*

Date Available to Begin Work*

Referred By*

Are you available to work:*

Overtime

Weekends

Position applied for:*

Full Time

Part Time

Seasonal

Special Skills*

Education:

High School Name*

Did you graduate?*

Yes

Currently Attending

College Name

Did you graduate?

Yes

Currently Attending

Trade, Business, or Correspondence School Name

Did you graduate?

Yes

Currently Attending

Employment History:

Are you currently employed?*

Yes

Can Homewood Disposal contact your current employer?

No, Do not contact my current employer

Yes, Feel free to contact my current employer

Employer 1

Employer Name*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date*

End Date

If you are currently employed here, leave the end date blank.

Position*

Reason for Leaving*

Employer 2

Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

If you are currently employed here, leave the end date blank.

Position

Reason for Leaving

Employer 3

Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date

End Date

If you are currently employed here, leave the end date blank.

Position

Reason for Leaving

Additional Information:

Do you presently have lawful, unexpired authorization to be employed by Homewood Disposal in the United States?*

Yes

Proof of Identity will be required.

Are you 18 years or older?*

Yes

U.S. Military or Naval Service?*

Yes

Have you ever worked for Homewood Disposal?*

Yes

If so, when/location?*

Submission:

Please submit resume here:*

Accepted file types: pdf, docx, doc, Max. file size: 2 GB.

Please submit a current resume for consideration. Preferably in a .PDF format.

Signature:

To be Read and Signed by Applicant

1. This company conducts pre-employment screening. All offers are contingent upon successful completion of a drug test and/or physical examination.
2. I have read and reviewed the information provided in this application and the above statements. I certify the information contained in the application are true and complete to the best of my knowledge and understand that, if employed, falsified statements may result in termination. I understand and agree that, if hired, my employment is at-will. This means that if I am hired, either the company or I can end the employment relationship at any time for any or no reason.

Applicant Signature:*

Please type full name.

Date*

I hereby authorize the above to serve as my electronic signature*

Yes

CAPTCHA

Simple General Application

Education:

Employment History:

Employer 1

Employer 2

Employer 3

Additional Information:

Submission:

Signature:

To be Read and Signed by Applicant