Employment Application
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First Name
Last Name
Date of Birth *
What is your gender
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Street Address
City, State, Zip
Day Time Phone Number
Are you currently employed, where?
Email Address
Do you have a valid driver's license? *
Do you have a commercial  driver's license?
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Please list all vehicle infractions for the last three years.
Have you ever had any driver's license denied, suspended, revoked or canceled by an issuing state agency?
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Where did you attend high School
Did you attend College or Technical School? Where?
Did you earn a certificate or degree?
List your most recent employer.
When did you begin work at that employer?
When did you end work at that employer?
What was your reason for leaving that employer?
What other qualifications such as a special skill, ability or honors that should be considered?
Please list three personal references who are not relatives or former supervisors. Please include phone numbers.
I understand that Williams Sewer & Drain, Inc. has a commitment to maintain an alcohol/drug-free workplace and that Williams Sewer & Drain, Inc., unless prohibited by state law, requires a drug screening test as a part of its selection and hiring process. I understand that such drug screening will consist of the testing of a urine sample or other medically recognized test designed to detect traceable amounts of a controlled substance in my body.If after a second confirmatory test reviewed by a Medical Review Officer, it is determined my specimen contains a prohibited controlled substance or was altered or substituted, I will be disqualified from consideration for employment and any offer of employment will be withdrawn. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing under certain circumstances during my employment. I certify that the information on this application is correct and i understand that any misrepresentation or omission of any information will result in my disqualification from consideration for employment or, if employed, my dismissal. I understand that this application is not a contract, offer, or promise of employment and that if hired, I will be able to resign at any time for any reason. Likewise, the company can terminate my employment at any time with or without cause, unless otherwise required by law. I further understand that no one other than the President of Williams Sewer & Drain, Inc., has the authority to enter into an employment contract or agreement with me, and that my at-will employment can be changed only by a written agreement signed by the President of Williams Sewer & Drain, Inc.  I have read, understand and agree to the above statements.
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Williams Sewer & Drain, Inc. in considering my application for employment, may verify the information set forth on the application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any information concerning my background. I have read, understand and agree to this statement.
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