Evergreen

Employment Application

Evergreen Disposal Services is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, or other protected characteristic.

Evergreen Disposal Services es un empleador de oportunidad de empleos iguales (OEE) y acoge con beneplácito a los candidatos cualificados de todo. Son considerados candidatos calificados para el empleo sin respecto a raza, color, religión, sexo, origen nacional, edad, discapacidad, información genética o otra característica protegida.

Name:*

First

Last

Address:*

Street AddressCityState / Province / RegionPostal / Zip Code

Phone:*

Area Code

-

Phone Number

Date Available:*

E-mail:

Social Security No:

Desired Salary:

Position Applied for:

Are you legally eligible for employment in the United States?*

Have you ever worked for this company?*

*Have you ever been convicted of a felony?*

If yes, explain.

*A conviction is not an automatic disqualification to employment.

References

If you need additional space for references, please use the additional information field at the bottom of this application.

Did an Evergreen Services employee refer you? If so, please provide a name:

Reference #1

Reference #1 Name:

First

Last

Reference #1 Company:

Reference #1 Phone:

Area Code

-

Phone Number

Reference #1 Address:

Reference #2

Reference #2 Name:

First

Last

Reference #2 Company:

Reference #2 Phone:

Area Code

-

Phone Number

Reference #2 Address:

Reference #3

Reference #3 Name:

First

Last

Reference #3 Company:

Reference #3 Phone:

Area Code

-

Phone Number

Reference #3 Address:

Previous Employment

If you need additional space for past employers, please use the additional information field at the bottom of this application.

Employer #1

Employer #1 Company:

Employer #1 Phone:

Area Code

-

Phone Number

Employer #1 Address:

Employer #1 Supervisor:

Employer #1 Job Title:

Employer #1 Starting Salary:

Employer #1 Ending Salary:

Employer #1 Responsibilities:

Employer #1 Start Date:

Employer #1 End Date:

Employer #1 Reason for Leaving:

Employer #1 May we contact your previous supervisor?

Employer #2

Employer #2 Company:

Employer #2 Phone:

Area Code

-

Phone Number

Employer #2 Address:

Employer #2 Supervisor:

Employer #2 Job Title:

Employer #2 Starting Salary:

Employer #2 Ending Salary:

Employer #2 Responsibilities:

Employer #2 Starting Date:

Employer #2 Stop Date:

Employer #2 Reason for Leaving:

Please use this field for references, past employers, or additional information.

Additional Info:

I certify that my answers are true and complete to the best of my knowledge.

Yo certifico que todas mis respuestas son verdaderas y completas, a lo mejor de mi conocimiento.

I Agree:*

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release from EvergreenDisposal Services.

I understand that if I become an employee of EvergreenDisposal, my employment will be employment “at-will.” This means that employment may be terminated at any time, for any reason, with or without cause or notice.

Si esta solicitud conduce a empleo, entiendo que información falso o engañosa en mi solicitud o entrevista podría resultar en la culminación de empleo de EvergreenDisposal Services.

Entiendo que si me convierto en un empleado de disposición estadounidense, mi empleo será empleo "a voluntad." Esto significa que pueden ser despedidos en cualquier momento, por cualquier razón, con o sin causa o aviso.