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Menu
Who We Are
Our Mission
BSB Leadership
Customer Service
Sign Up
Change Service
Payment Options
Billing
Sewer
Sewer Billing Information PDF
Storm Water
BSB Tariff 2022
Regulated Businesses
Construction & Developer
Food Service Establishment
Maps
Education
Just for Kids
Wastewater
Stormwater
What is a Watershed
Rain Garden
Landscaping Info
Gallery
Photos
Stormwater Videos
Wastewater Videos
FAQ
Sewer FAQ
Stormwater FAQ
Rates FAQ
Contact
Come Join Our Team! – Start a Clean Water Career
Application
"
*
" indicates required fields
1
Personal Information
2
Position Desired
3
Background Information
4
Employment History
5
References
6
Application Preview and Submission
Which position are you applying for today?
*
How did you hear about this positon?
*
Google Search
Indeed
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Friend
Relative
Beckley Sanitary Board Employee
Other
Please Specify which Employee:
*
First
Last
Please Specify:
*
Personal Information
Name
*
First
Middle
Last
Last Four Digits of Social Security No.
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Email Address
*
Home Phone
*
Alternate Phone
*
Are employment records pertaining to you kept under any other name?
*
Yes
No
Are you at least 18 years of age?
*
Employment is subject to verification of minimum legal age.
Yes
No
Give The Full Name:
*
First
Middle
Last
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.
Yes
No
You will be asked to undergo a pre-Employment Drug Test. Are you willing to undergo a Drug Test?
*
Yes
No
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?
*
Yes
No
Have you been convicted of a misdemeanor or felony?
*
Yes
No
Please Explain:
*
In case of Emergency Notify:
*
First
Last
Their Phone Number:
*
Availability
Position Applied for:
*
(Be Specific)
DATE AVAILABLE
*
MM slash DD slash YYYY
Full/Part Time
*
Full Time
Part Time
Are you willing to work weekends?
*
Yes
No
Are you willing to work emergency "Call Outs"?
*
Yes
No
Do you have any commitments to another employer which might affect your employment with us?
*
Yes
No
Please explain:
*
Salary Expected:
Annually
*
Hourly
*
Skills
List any special educational training, including: vocational, workshops, training, etc. that may be applicable to the position you are seeking:
*
Additional Skills (office-computer) or equipment you can operate:
*
License or Certification
List
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Type
State
Date Received
Last Renewal
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List membership in professional organizations and offices held, if any:
Education
Are you attending school now?
*
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Course of Study
*
Select last year of school completed:
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2
3
4
5
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7
8
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10
11
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Select last year of college completed:
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2
3
4
5
6
7
8
Select last year of Business or Trade School completed:
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1
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4
High School
Name
*
City/State
*
Graduated?
*
Yes
No
Major Area of Study
*
Degree
*
College
Name
*
City/State
*
Graduated?
*
Yes
No
Major Area of Study
*
Degree
*
Business or Trade School
Name
*
City/State
*
Graduated?
*
Yes
No
Major Area of Study
*
Degree
*
Military Service
Branch:
Rank at Discharge:
Type of Discharge:
Briefly Describe your Duties:
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.
Please Upload a Copy of Your Resume
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Accepted file types: pdf, Max. file size: 256 MB.
Employment History
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Phone Number
May We Contact?
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Have you previously worked for Beckley Sanitary Board?
*
Yes
No
Are any of your relatives working at Beckley Sanitary Board?
*
Yes
No
Please complete the following:
Position Title
*
Supervisor
*
Date to:
*
MM slash DD slash YYYY
Date from:
*
MM slash DD slash YYYY
Reason for Leaving:
*
References
References
*
Name
Company/Title
Address
Phone
Years Known
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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.
By signing this agreement, I agree to hold harmless any previous employer, or agent of that organization, or any individual providing information in this authorization. I further authorize Beckley Sanitary Board to provide a copy of this release upon request.
Signature of Applicant
*
Date
*
MM slash DD slash YYYY
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