Human Resources Systems Administrator at Granger Waste Services

First Name *

Last Name *

Email *

Cell Phone *

Resume *

City *

State: *

How did you hear about this opportunity? *

Has anyone referred you to this position? If yes, please share their name.

Have you ever been convicted of any crime (including misdemeanor or felony), been imprisoned, or are you presently charged with a felony? *

If you answered yes above, please state citation, date and place where offense occurred.

Can you provide proof that you are eligible to work in the United States? *

What rate of pay are you expecting in your next job? *

Name of most recent employer. *

Position *

Start date *

End date *

Hours worked per week *

Supervisor's name and title *

Why did you leave, or if you currently work there, why are you interested in leaving? *

Ending salary *

If you do not want us to contact this employer or if you have any other comments, please explain here. *

Next most recent employer *

Next most recent position *

Start date (for next most recent position) *

End date (for next most recent position)

Hours worked per week (for next most recent employer) *

Supervisor's name and title (for next most recent employer) *

Why did you leave? *

Ending salary (for next most recent employer) *

If you do not want us to contact this next most recent employer or if you have any other comments, please explain here. *

Third most recent employer

Third most recent position

Start date (for third most recent position)

End date (for third most recent position)

Hours worked per week (for third most recent employer)

Supervisor's name and title (for third most recent employer)

Why did you leave this third most recent employer?

Ending salary (for third most recent employer)

If you do not want us to contact this third most recent employer or if you have any other comments, please explain here.

EDUCATION: Have you graduated from high school or completed the GED equivalent? *

Name and location of high school

OTHER EDUCATION (college or university, graduate school, trade school). School #1: Name and location

School #1: Number of years attended

School #1: Graduated

School #1: Major/degree

School #2: Name and location

School #2: Number of years attended

School #2: Graduated

School #2: Major/degree

MILITARY SERVICE: Branch of Service

Dates of Service

Rank

Reserve Status

Duties/Special Training

Emergency Contact Name *

Emergency Contact Phone *

Please read the following statements carefully before attesting to indicate your understanding. I certify that all of the information furnished on this application is true, complete, and correct. *

I understand and agree that any falsification, misrepresentation or omission of fact either on this application or during the pre-hire process may result in my not being offered employment or being dismissed at any time from the service of Granger if employed. *

I understand that Granger is an at-will employer and, if hired, either Granger or I may terminate the employment relationship at any time with or without notice and with or without cause. This provision supersedes any oral or written representations to the contrary, unless the written statement is signed by the president of Granger. *

I authorize and request my former employers, references, educational institutions, and any credit agencies or reporting services that have information about me to give Granger any information and opinions about me in their possession and which may lawfully be disclosed. *

I hereby waive written notice of such releases of information and opinions, and I release such former employers, references, educational institutions, and any credit agencies or reporting services from any liability or claim relating to such release of information and opinions. *

I authorize/request federal, state, and local governmental agencies to release to Granger any information concerning any criminal convictions of my record. Medical and workers’ compensation information will only be requested in compliance with the Federal Americans with Disabilities Act (ADA) and/or other applicable state laws. A copy of this signed waiver will be valid as original. *

I understand that all Granger associates are required to take a drug screen test prior to employment. If offered employment by Granger, a pre-employment physical will be required prior to my employment. *

In the event that I have a disability that will affect my ability to take the physical, Granger must be informed prior to the physical so that a reasonable accommodation can be made. I understand that Granger reserves the right to require medical documentation regarding the need for accommodation. *

See all the jobs at Granger Waste Services here: http://grangernet.recruiterbox.com/jobs

Application Form