Step 1 of 4 25% Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Address* Home Phone Number*Cell Phone Number*Employment Desired (Position/s Applying For):* Have you ever applied to or worked for our Company before?* Yes No If Yes, when? Date Format: MM slash DD slash YYYY Do you have any friends or relatives working for our Company?* Yes No If yes, state name(s) and relationship: How did you learn about our company?*If hired, would you have a reliable means of transportation to and from work?* Yes No Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)* Yes No If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?* Yes No Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?* Yes No If no, describe the functions that cannot be performed. (Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.) Education, Training and ExperienceHigh School - Name, City & State*Number of Years Completed*Did you graduate?* Yes No College/University - Name, City & StateNumber of Years Completed?Did you graduate? Yes No College/University - Name, City & StateNumber of Years Completed?Did you graduate? Yes No Major:Vocational/Business - Name, City & StateNumber of Years Completed?Did you graduate? Yes No List below all present and past employment starting with your most recent employer (last ten years is sufficient). Account for all periods of unemployment. You must complete this section even if attaching a resume.Job #1 - Dates of Employment: (From)* Date Format: MM slash DD slash YYYY Job #1 - Dates of Employment: (To)* Date Format: MM slash DD slash YYYY Name & Address of Employer?*Position Title & Responsibilities?*Supervisor Name & Phone Number?*Reason for Leaving?*May we contact this employer?* Yes No Job #2 - Dates of Employment: (From) Date Format: MM slash DD slash YYYY Job #2 - Dates of Employment: (To) Date Format: MM slash DD slash YYYY Name & Address of Employer?Position Title & Responsibilities?Supervisor Name & Phone Number?Reason for Leaving?May we contact this employer? Yes No Job #3 - Dates of Employment: (From) Date Format: MM slash DD slash YYYY Job #3 - Dates of Employment: (To) Date Format: MM slash DD slash YYYY Name & Address of Employer?Position Title & Responsibilities?Supervisor Name & Phone Number?Reason for Leaving?May we contact this employer? Yes No Upload Your Resume Now!Accepted file types: pdf, doc, docx. Initialing the below and typing your name in the signature line signifies that all statements you provided are true and any falsifying information could result in termination if employed.I hereby certify that all the information above is true and complete. I have not knowingly withheld any information that might adversely affect my chances for employment. I understand that any falsification, material omission or misstatement of information on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. I further certify that I, the undersigned applicant, have personally completed this application.*I understand that any offer of employment will be conditioned upon complying with all of the Company’s requirements including, but not limited to, signing any requested consent for the Company to conduct an investigation or obtain a report about my background.*I hereby authorize Cal-Waste Recovery Systems and its representatives to contact my prior employers and all others for the purpose of verification of all information I have supplied, and to thoroughly investigate my references, work record, education, professional credentials, and other matters related to my suitability for employment. Further, I authorize the references I have listed to disclose to the Company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure.*I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is “at-will” – that is, it is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company’s designated representative.*I understand an offer of employment may be made contingent on passing a job-related physical examination. I agree to submit to a controlled substances screening and physical examination by the Company’s designated medical practitioner and at the Company’s expense upon receiving a conditional offer of employment from the Company.*Date:* Date Format: MM slash DD slash YYYY Electronic Signature: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. By typing your name in the signature line you agree that all statements you provided are true and any falsifying information could result in termination if employed.* This iframe contains the logic required to handle Ajax powered Gravity Forms.