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RESIDENTIAL
COMMERCIAL
SITE SERVICES
PORTABLE RESTROOMS

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General Laborer

Role and Responsibilities:

This role will be required to do general labor around the facility and operate a wide range of vehicles in support of the operation. You can expect to prepare equipment for large scale events, deliver/remove equipment for large scale events, and provide our customers with a superior product.

Qualifications and Education Requirements:

Must have a valid driver’s license and clean driving record.
Must be able to operate a tablet and PC.
Must be able to manage time effectively.

Preferred Skills:

General mechanical knowledge a plus.

Step 1 of 6

16%

Applicant Name:*
Position applying for:*
Phone:*
Email:*
*In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.
TO BE READ AND SIGNED BY APPLICANT

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hearby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Nauset Disposal. I understand that the information I provide regarding current and/or previous employers may be used, and those employer(s) may be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand I have the right to:

• Review information provided by previous employers;
• Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employers;
• Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.
Signature*
Date:*
MM slash DD slash YYYY

PERSONAL INFORMATION
Current Address:*
Street Address City State ZIP Code
How long have you lived there?*
Previous Address:*
Street Address City State ZIP Code
How long did you live there?*
Previous Address:
Street Address City State ZIP Code
How long did you live there?
Do you have the legal right to work in the United States?*
- Yes
- No
Are you currently employed?*
- Yes
- No
If not, how long have you been unemployed?*
Who referred you?*
Relation?*
Rate of pay expected?
Is there any reason you might be unable to perform the functions of the job for which you have applied?*
- Yes
- No
If yes, please explain:

PROFESSIONAL REFERENCES

Please provide (3) PROFESSIONAL references (former employers, managers, co-workers) that we can contact:
Reference Name 1:*
First Last
Phone:*
Ok to contact?*
- Yes
- No
Relationship:*
Business Name:*
Reference Name 2:*
First Last
Phone:*
Ok to contact?*
- Yes
- No
Relationship:*
Business Name:*
Reference Name 3:
First Last
Phone:
Ok to contact?
- Yes
- No
Relationship:
Business Name:

DRIVING HISTORY

Accident and/or violation record for PAST 5 YEARS or more. if NONE please go to NEXT page at bottom.
DRIVING HISTORY

If you are applying for the Customer Service Representative position please proceed to the next step.
Last Accident Date:
MM slash DD slash YYYY
Nature of Accident / Violation:
Fatalities?
- Yes
- No
Injuries?
- Yes
- No
Hazmat?
- Yes
- No
Previous Accident Date:
MM slash DD slash YYYY
Nature of Accident / Violation:
Fatalities?
- Yes
- No
Injuries?
- Yes
- No
Hazmat?
- Yes
- No
Previous Accident Date:
MM slash DD slash YYYY
Nature of Accident / Violation:*
Fatalities?
- Yes
- No
Injuries?
- Yes
- No
Hazmat?
- Yes
- No
Previous Accident Date:
MM slash DD slash YYYY
Nature of Accident / Violation:
Fatalities?
- Yes
- No
Injuries?
- Yes
- No
Hazmat?
- Yes
- No

DRIVING HISTORY CONTINUED
DRIVING HISTORY CONTINUED

If you are applying for the Customer Service Representative position please proceed to the next step.
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
- Yes
- No
If yes, please explain:
Has any license, permit, or privilege ever been suspended or revoked?*
- Yes
- No
If yes, please explain:*
Please list any special courses you have taken that may help you as a driver:
Please list any special equipment, skills or technical materials you can work with that may apply to this position:

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