Non-DOT Application | Chambersburg Waste Paper

Education
Please provide the name and location of all that apply.
High School
Name Graduation Year
College or University
Name Graduation Year
Business or Technical School
Name Graduation Year
Military
Did you serve in the U.S. Armed Forces?
- Yes
- No
If "YES", which branch?
Please describe any training received relevant to the position for which you are applying:

Current/Most Recent Employer
Company Name
Company Address
Street Address Address Line 2 City State ZIP Code
Company Phone
Dates of Employment
Start: MM/YYYY End: MM/YYYY
Position
Supervisor Name
Reason for leaving:
Describe your work:
Second Last Employer
Company Name
Company Address
Street Address Address Line 2 City State ZIP Code
Company Phone
Dates of Employment
Start: MM/YYYY End: MM/YYYY
Position
Supervisor Name
Reason for leaving:
Describe your work:
Third Last Employer
Company Name
Company Address
Street Address Address Line 2 City State ZIP Code
Company Phone
Dates of Employment
Start: MM/YYYY End: MM/YYYY
Position
Supervisor Name
Reason for leaving:
Describe your work:
Fourth Last Employer
Company Name
Company Address
Street Address Address Line 2 City State ZIP Code
Company Phone
Dates of Employment
Start: MM/YYYY End: MM/YYYY
Position
Supervisor Name
Reason for leaving:
Describe your work:
Additional Training
Have you received other areas of special training or skills, such as language, machine operation, etc.? If so, please provide additional information below:

Applicant Signature
Please read and understand this statement before signing your application:

The information I provided in this Application for Employment is true, correct, and complete. False, incomplete, or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employer to contact and obtain information about me from previous employers, educational institutions and "references" I provided, any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume of a personal interview. To assist in the processing of my Applications, I waive all rights to claims I may evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment I understand I may resign at any time, and the employer may terminate my employment at any time with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such offer.

I fully understand and accept all terms and conditions in the above statement.
Date
Date Format: MM slash DD slash YYYY
Your Name
By typing your first and last name, you authorize the above name as your digital signature.

Step 1 of 4

Personal Information

Education

Military

Current/Most Recent Employer

Second Last Employer

Third Last Employer

Fourth Last Employer

Additional Training

Applicant Signature