Application First Name *Street Address *Best Contact Phone Number *Last Name *City, State, Zip *Driver License Number and Issuing State *Area Applying For: *Alabama - MobileMississippi - LaurelMississippi - Greene CountyMississippi - LucedaleMississippi - Noxubee CountyMississippi - Stone CountyMS-Monticello/PrentissDo you currently hold a CDL License? *YesNoDo You Currently have a Clean Driving Record? *YesNoHave you had an accident (Personally, or Commerically) within the last 3 years? *YesNoRole Applying For: *CDL DriverNon CDL DriverHopperMechanicOffice StaffShop TechnicianWhen did you receive your CDL? What Class of CDL do you Currently Hold? Class AClass BClass COperatorDate you can start work *Do you have a High School Diploma or GED? *YesNoAre you able to work in the U.S. on an unrestricted basis? *YesNoHave you ever been convicted of a DUI? *YesNoDesired Pay *Expected Hours *Full TimePart TimeSeasonalHave you ever been convicted of a felony? (Conviction will not necessarily disqualify applicant from employment) *YesNoCan you peform the functions of this job with or without special accomodations? *YesNoSpecial Skills: List any special skills you feel could help you for the position you are applying for (leadership, Organization, Teams)Qualifications: *Please list any previous past Education, Training, or Experience (Schools, Colleges, Vocational, Technical Programs, or military experience) you feel related to the position being applied for. Please provide School Name, Degree or Certificate Received, and the Mailing AddressReference 1:First Name *Phone Number *Relationship Last Name *Email *Short Description (if Applicable) Reference 2:First Name Phone Number Relationship Last Name Email Short Description (if Applicable) Reference 3:First Name Number Relationship Last Name Email Short Description (if Applicable) Work History 1:Job Title #1 *Supervisor's Name *Company Address *Start Date *Reason For Leaving: *Duties *Company Name *Phone Number *City, State, Zip *End Date *Start Salary: End Salary: May we Contact your Previous Employer? *YesNoN/AWork History 2Job Title #2 Supervisor's Name Company Address Start Date Reason For Leaving: Duties Company Name Phone Number City, State, Zip End Date Start Salary: End Salary: May we Contact your Previous Employer? YesNoN/AWork History 3:Job Title #3 Supervisor's Name Company Address Start Date Reason For Leaving: Duties Company Name Phone Number City, State, Zip End Date Start Salary: End Salary: May we Contact your Previous Employer? YesNoN/AWork History 4Job Title #4 Supervisor's Name Company Address Start Date Reason For Leaving: Duties Company Name Phone Number City, State, Zip End Date Start Salary: End Salary: May we Contact your Previous Employer? YesNoN/AI understand that A-1 Mcduffie Sanitation LLC. may obtain consumer reports (background checks) regarding my employment application. This information may be used to verify the information on my application and for other employment-related decisions. YesNoResume Upload Drop your file here or click here to upload You can upload up to 1 files. I certify that all 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, ommissions, or misrepresentations may result in my dissmissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the employer from any liability. The employer may contact any listed reference in this application.I Acknowledge and understand that the company is an "at will" employer. Therefore, any employee may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to either party.By typing your name below and submitting this application, you are certifying that all information provided is true and complete to the best of your knowledge. You understand that this constitutes your electronic signature and is legally binding, equivalent to a handwritten signature under applicable law. You acknowledge that falsifying information may result in disqualification or termination if employed. *Today's Date: Applicant Mailing Address WebsiteSubmit
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