Let us earn your business today- Apex Recycling

Employment Application

Full Name:
Address:
City: State: Zip:
Phone: Mobile/Pager/Other: Email:
Start Date: Social Security Number: Salary Requirements:
If you are under 18 years of age, can you provide a work permit? Yes No
If no, please explain:
Have you ever worked for this company? Yes No
If yes, when:
Are you legally allowed to work in the United States? Yes No
Type of employment desired: Full-Time Part-Time Temporary Seasonal
Have you ever pleaded guilty, no contest or been convicted of a crime? Yes No
If yes, give dates and details:
Answering yes to these questions does not constitute an automatic rejuection for employment. Date of the offense, seriouseness and nature fo the violation, rehabilitation and position applied for will be considered.
Driver's License Number: State:

Education History

Name & Location of High School: Did you graduate? Yes No
Name & Location of College: Years attended:
Degrees compled: Other Subjects Studied:
Trade, Business or Correspondence School: Years attended:
Subjects Studied: Did you graduate? Yes No

Summarize Your Special Skills or Qualifications

Previous Employment (begin with most recent position)

Dates of Employment: (MM/DD/YY) From: To:
Positions(s) Held:
Address:
City: State: Zip:
Phone: Supervisor: Title:
Responsibilities:
Reason for Leaving:
Starting Salary and Title:
Ending Salary and Title:
May we contact this employer for a reference? Yes No

Dates of Employment: (MM/DD/YY) From: To:
Positions(s) Held:
Address:
City: State: Zip:
Phone: Supervisor: Title:
Responsibilities:
Reason for Leaving:
Starting Salary and Title:
Ending Salary and Title:
May we contact this employer for a reference? Yes No

Dates of Employment: (MM/DD/YY) From: To:
Positions(s) Held:
Address:
City: State: Zip:
Phone: Supervisor: Title:
Responsibilities:
Reason for Leaving:
Starting Salary and Title:
Ending Salary and Title:
May we contact this employer for a reference? Yes No