Employment Application
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First Name
Last Name
Date of Birth *
MM
/
DD
/
YYYY
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?
mm/dd/yyyy
When did you end work at that employer?
mm/dd/yyyy
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altered or substituted, I will be disqualified from consideration for employment and any offer of employment will be withdrawn.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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