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    • Just for Kids
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Application

"*" indicates required fields

1Personal Information
2Position Desired
3Background Information
4Employment History
5References
6Application Preview and Submission
How did you hear about this positon?*
Please Specify which Employee:*

Personal Information

Name*
Address*
Are employment records pertaining to you kept under any other name?*
Are you at least 18 years of age?*
Employment is subject to verification of minimum legal age.
Give The Full Name:*
Are you able to produce proof of identity & eligbility for employment in the United States?*
Ex. Driver's License, Social Security Card, Birth Certificate, Immigration Documentation.
You will be asked to undergo a pre-Employment Drug Test. Are you willing to undergo a Drug Test?*
A prerequisite to employment with Beckley Sanitary Board is the completion of a criminal background check. Are you willing to authorize a pre-employment background check?*
Have you been convicted of a misdemeanor or felony?*
In case of Emergency Notify:*

Availability

(Be Specific)
MM slash DD slash YYYY
Full/Part Time*
Are you willing to work weekends?*
Are you willing to work emergency "Call Outs"?*
Do you have any commitments to another employer which might affect your employment with us?*

Salary Expected:

Skills

License or Certification

List
Click on the "+" icon to add additional Licenses or Certifications.
Type
State
Date Received
Last Renewal
Certificate Number
 

Education

Are you attending school now?*
Select last year of school completed:*
Select last year of college completed:*
Select last year of Business or Trade School completed:*

High School

Graduated?*

College

Graduated?*

Business or Trade School

Graduated?*

Military Service

Employment History

Please list the names of present and previous employers in order, beginning with the most recent employer. Include periods of military service, self-employment, and unemployment.
Accepted file types: pdf, Max. file size: 256 MB.
Job Title Employer Phone Number May We Contact? Actions
       
There are no Entries.

Maximum number of entries reached.

Have you previously worked for Beckley Sanitary Board?*
Are any of your relatives working at Beckley Sanitary Board?*

Please complete the following:

MM slash DD slash YYYY
MM slash DD slash YYYY

References

References*
Name
Company/Title
Address
Phone
Years Known
 

Notice

I certify that the information given by me on this application is true. I agree if the information is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I understand that this employment application and any other Beckley Sanitary Board documents are not contracts of employment, express or implied. If hired, I may voluntarily leave employment or may be terminated by Beckley Sanitary Board at any time and for any or no reason, with or without cause. Beckley Sanitary board employees are at-will employees. I also understand that I may be offered employment conditioned on my successfully passing criminal and/or successfully passing other background checks and/or drug tests and/or physical exams to the satisfaction of Beckley Sanitary Board.
Information Release Authorization*
I authorize Beckley Sanitary Board's agents to contact by phone, correspondence, or in person, my previous employers and personal references to determine fitness for employment and may include, but is not limited to: employment history verification, job performance, disciplinary record, criminal background investigation, character, and reputation. I further acknowledge I will not pursue any legal claims, including, but not limited to, defamation, libel, slander, or invasion of privacy against Beckley Sanitary Board.
MM slash DD slash YYYY
{all_fields}

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