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Green and Sustainability

Member Jackson Belden Chamber

Employee Application Form:

Please fill out the form below, then click on the SUBMIT button and

this form will be E-mailed to the Human Resources Department.

Position Applied For: 

Last Name:  

First Name:    Middle Name: 

Address:      

Home Phone:      Cell Phone: 

Email: 

Time most convenient to call:  Anytime    Days    Evenings    Weekends 

Are you currently employed?  Yes    No 

Can you travel if a job requires it?  Yes    No 

Present or Most Recent Employer: 

May we contact this employer?       Yes   No

Present or Most Recent Employer Address:
   

Present or Most Recent Employer Phone:

Service Dates:   Start:     End: 

Job Title: 

Previous Employer: 

May we contact this employer?       Yes   No

Previous Employer Address:

Previous Employer Phone:

Service Dates:   Start:     End: 

Job Title: 

Training and Certifications: Please check "Yes" on all that apply.

OSHA 29 CFR 1910.120 (HAZWOPER) Training: If yes, please enter date of most recent training.

80 hrs:  Yes    No     Date: 

40 hrs:  Yes    No     Date: 

24 hrs:  Yes    No     Date: 

16 hrs:  Yes    No     Date: 

8 hrs:    Yes    No     Date: 

8 hr Refresher:  Yes    No     Date: 

8 hr Supervisor:  Yes    No     Date: 

Other Certifications: Please check "Yes" on all that apply.

Asbestos License:  Yes     No 

Confined Space Certified:  Yes    No 

Rail Car Certified:  Yes    No 

Respirator Fit Tested:  Yes    No     Date: 

CDL:  Yes    No 
Class: A     B     C     D 

Endorsements: Please check "Yes" on all that apply.

CDL Air Brakes:  Yes     No 

CDL Hazardous Materials:  Yes    No 

CDL Tanker:  Yes    No 

CDL Doubles/Triples:  Yes    No 

CDL Passenger:  Yes    No 

EMPLOYMENT-AT-WILL STATEMENT
All employees of SUNPRO have the right to terminate their employment at any time, for any reason, with or without cause, and SUNPRO has the right to terminate the employment relationship with their employees at any time, for any reason, with or without cause, unless otherwise require by law. No statement or action by the Company, or its managers or supervisors is intended as an expressed or implied contract of employment.

EQUAL EMPLOYMENT OPPORTUNITY
SUNPRO embraces equal employment opportunities. The Company’s policy is that equal employee opportunities shall be afforded to all individuals as required by law without regard to age, disability, race, religion, sex, national origin.

APPLICANT’S STATEMENT
By clicking submit you:

  • Certify that you are legally permitted to work in the United States and can provide suitable proof, as required by law.
  • Authorize SUNPRO to investigate all statements contained in this application, as necessary, to arrive at an employment decision. 
  • Certify that the information given herein is true and complete to the best of your knowledge.
  • Understand that false or misleading information given in this application or during any interview could result in immediate discharge. 
  • Certify that you have read and understand the Employment-at-Will Statement.

                                                              




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