Careers – Bakers Waste Equipment

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Employment Application Form

An Equal Opportunity Employer - All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.

Name:*

Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

E-mail Address:

Phone:

Are you eligible to work in the U.S?*

Yes

If you are under 18, can you furnish a work permit?

Yes

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

Yes

How did you hear about us?

Do you know anyone who works here?

Yes

If yes, who?

EMPLOYMENT HISTORY

Have you ever worked for this company before?

Either Bakers Waste Equipment *or* FleetGenius. If yes, please specify which.

Yes

Explain:

Names of other Employment History(below):

Employer Name:

From (month/year):

To (month/year):

City & State:

Phone:

Job Title:

Responsibilities:

Supervisor Name & Phone:

May We Contact for a Reference?

Yes

Later

Rate/Salary Start $:

Rate/Salary End $:

Reason for Leave:

Please read carefully before signing.

Bakers Waste Equipment is an equal opportunity employer. Bakers Waste Equipment(BWE) does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for BWE to hire me. If I am hired, I understand that either BWE or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of BWE has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to BWE true and complete information on this application. No requested information has been concealed. I authorize BWE to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Date:

Signature:

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PERSONAL INFORMATION

EMPLOYMENT DESIRED

EMPLOYMENT HISTORY