Millennium Recycling Application for Employment

Millennium Recycling Application for Employment
Date ______________
Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color,
religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.
Millennium Recycling participates in E-Verify to confirm each new employee’s work authorization within the United States from their I-9 Form.
(sp) Nuestra política es ofrecer igualdad de oportunidades laborales para todas las personas calificadas, sin distinción de raza, credo,
color, creencia religiosa, sexo, edad, origen nacional, ascendencia, discapacidad física o mental, o estado de veterano. Millennium
Recycling participa en E-Verify para confirmar la autorización de cada nuevo empleado de trabajo dentro de los Estados Unidos de su Formulario I-9.
Application must be complete or will not be considered. (sp) La solicitud debe ser completa o no serán considerados.
Last name ______________________________ First Name ____________________ Middle Name____________
Street Address ___________________________________________City _________________ State _______ ZIP _______
Telephone _______________________ Cell Phone ______________________ Social Security # ______________________
Position applied for _____________________________ How did you hear of this opening? ____________________________
When can you start? _____________________ Desired Wage $______________
Ever applied for employment here?  Yes  No When? __________ Prior employed by this company?  Yes  No
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide
documentation.)  Yes  No
Are you 18 years or older?  Yes  No
Do you speak any other languages?  Yes  No If yes, __________________________________________________
Are you looking for full-time employment?  Yes  No
Shifts you are able to work  Day  Night  Any
Available for emergency or on-call?  Yes  No
Have you ever been convicted of a felony? (Optional)  Yes  No
If yes, please describe conditions. _______________________________________________________________________
___________________________________________________________________________________________________
Education
School Name and Location
Year Major Degree
High School ________________________________________
______ ______ ______
College ___________________________________________
______ ______ ______
College ___________________________________________
______ ______ ______
Post-College _______________________________________
______ ______ ______
Other Training ______________________________________
______ ______ ______
In addition to your work history, are there other skills, equipment, qualifications, or experience that we should consider?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Employment History
(Start with most recent employer)
Company Name ________________________________________________________________
Address ____________________________________ Telephone _________________________
Date Started ___________ Starting Wage ____________ Starting Position ________________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor ____________________________________ May we contact?  Yes  No
Responsibilities ___________________________________________________
Reason for leaving __________________________________________________________________________________
Company Name ________________________________________________________________
Address ________________________________________ Telephone _____________________
Date Started ____________ Starting Wage ____________ Starting Position _______________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor ____________________________________ May we contact?  Yes  No
Responsibilities ___________________________________________________
Reason for leaving __________________________________________________________________________________
Company Name ________________________________________________________________
Address ________________________________________ Telephone _____________________
Date Started ____________ Starting Wage ____________ Starting Position _______________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor ____________________________________ May we contact?  Yes  No
Responsibilities ___________________________________________________
Reason for leaving __________________________________________________________________________________
Company Name ________________________________________________________________
Address ________________________________________ Telephone _____________________
Date Started ____________ Starting Wage ____________ Starting Position _______________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor ____________________________________ May we contact?  Yes  No
Responsibilities ___________________________________________________
Reason for leaving __________________________________________________________________________________
Reference information:
Name_______________________ Company______________________ Contact____________________ Years _______
Name_______________________ Company______________________ Contact____________________ Years _______
Name_______________________ Company______________________ Contact____________________ Years _______
**Attach additional information or resume if necessary.
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I
understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal.
This company is hereby authorized to make any investigations of my prior educational and employment history.
I understand that employment at this company is “at will,” which means that either I or this company can terminate the
employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All
employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other
than the president, has any authority to alter the foregoing.
*(Sp)Certifico que los hechos expuestos en esta solicitud de empleo es verdadera y completa a lo mejor de mi conocimiento. Entiendo que si soy
empleado, declaraciones falsas en esta solicitud será considerada causa suficiente de despido. Esta empresa se autoriza a hacer cualquier
investigación de mis antecedentes de educación y empleo.
Entiendo que el empleo en esta compañía es "a voluntad", lo que significa que yo o esta empresa puede rescindir la relación laboral en cualquier
momento, con o sin previo aviso, y por cualquier motivo que no esté prohibido por ley. Todo el empleo se mantiene sobre esa base. Yo entiendo
que ningún supervisor, gerente o ejecutivo de esta empresa, con excepción del presidente, tiene autoridad para modificar el anterior.
Signature_______________________________________________ Date _________________