Are you interested in starting a career with Taylor Garbage Service? Please fill out the online application form below or to download a printable employment application form to drop off at our office.
Position(s) Applied For*
Date of Application*
Name (Last, First, Middle)*
Address*
Telephone #*
Cell/Other #
Email*
Referral Source (How did you hear about us?)
If you are under 18 and it is required, can you furnish a work permit?* YesNo
If no, please explain
Have you ever been employed here before?* YesNo
If yes, give dates and positions
Is this application a request for re-employment following an extended military leave of absence from this company?* YesNo
If yes, additional information may be requested. YesNo
Date available to being work?*
Type of employment desired* Full timePart timeTemporaryOther
If other, please explain
Starting with your most recent employer, provide the following information.
Employer*
Dates Employed Start Date*
Dates Employed End Date*
Job Title*
Supervisor*
Reason for Leaving*
May We Contact for Reference?* YesNoLater
Summarize job responsibilities
Employer
Telephone #
Dates Employed Start Date
Dates Employed End Date
Address
Job Title
Supervisor
Reason for Leaving
May We Contact for Reference? YesNoLater
Summarize any special training, skills, licenses and/or certificates that may assist you in performing the position for which you are applying:
License No.*
Class*
Med Cert Exp. Date*
Accidents or Violations*
Certifications or Trainings
Starting with your most recent school attended provide the following information.
School (Include City & State)*
Years Completed*
Degree Received?* YesNo
Major/Minor*
School (Include City & State)
Years Completed
Degree Received? YesNo
Major/Minor
List names and contact information of 3 business references not related to you. If not applicable, school or personal references may be provided.
Name*
Relationship and number of years known*
Phone No.*
Email Address*
PLEASE READ BEFORE SIGNING
I certify that all information I have provided, in order to apply for and secure work with this employer is true, complete and correct.
I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, or resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.
I understand that if I am hired, I will be required to submit to a drug and alcohol screening prior to hire and throughout my employment with the employer.
I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I understand that this application remains current for 1 (one) year. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.
If I am hired, I understand that I am free to resign, at any time, with or without prior notice and with or without notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president.
I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
This company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal state, or local laws. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment, or may result in my immediate discharge from the employer’s service, whenever it is discovered.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.* YesNo
