Centre County Recycling and Refuse Authority Employment Application
An Equal Opportunity Employer
Sign in to Google to save your progress. Learn more
First and Last Name,  Middle Initial *
Street Address, City, State, Zip Code *
Email Address
Phone Number *
If hired, can you provide evidence of legal eligibility to work in the U.S?   Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization. *
Position Desired: *
How did you hear about this position? *
Wage/Salary Desired: *
Desire Full Time or Part Time: *
Required
Were you previously employed by the Authority? *
List any friends or relatives working for the Authority.  List by name then relationship.  
Have you ever been convicted of any crime, including traffic violations?   *
If answered yes above, please describe.   Please understand that a criminal conviction does not constitute an automatic bar to employment unless the conviction relates to an applicant’s suitability for employment in the position for which he or she has applied.
Date available to begin work? *
MM
/
DD
/
YYYY
Are you 18 years of age or older?  If under 18 years of age, you will be required to submit a birth certificate or work certificate as required by state or federal law. *
High School Attended, City, State *
Did you graduate from High School? *
College or Technical School Attended, City, State
Did you graduate college or Technical School?
Clear selection
If graduated from college, please list year of graduation, degree obtained and major
Are you presently enrolled in school? *
If presently enrolled in school, give name of school and date of expected graduation
List any job related skills, including military experience *
If hired, how will you get to work? If car, list Drivers License Number and State Issued *
Do you have a commercial driver's license? *
Required
Provide three references who we may contact.  List each by name and occupation, years known and contact number *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report