Employment

Application for Employment

Position
Select Position * Desired Salary
*
How did you hear about this position
Personal Information

In considering your application for employment, Central Florida Recycling Center may conduct a detailed and background investigation which may include, but is not limited to, a criminal record check, interviews and inquiries of prior employers, personal and professional references.

First Name
*
Last Name
*
Middle Name
Date of Birth
*
Previous Names
If applicable, identify all other names
Phone Number
*
Email Address
Address
*
*
*
*
Previous Address
Best Time
Date Available
* mm/dd/yyyy
Citizenship Are you a US Citizen or do you have a legal right to work in the U.S.
Convictions Within the past 10 years, have you been convicted of a felony? (Do not include convictions that were sealed, eradicated, erased or expunged; conviction that resulted in referral to diversion program; or marijuana-related convictions that were more then two (2) years old)
  If yes, please explain so that the circumstances may be considered 
References
Employed by Us
Relatives or Friends employed by Central Florida Recycling Center
 
   
Personal & Professional
1.
*
*
*
2.
3.
Work Experience

Current Employer

Employer
* (current or most recent)
Employed Dates
*
*
Address
*
*
*
*
Work Performed
Job Title
*
Supervisor Name
*
Salary Reason for Leaving
May we call? Employer Phone

Previous Employer

Employer
Employed Dates
Address
Work Performed
Job Title
Supervisor Name
Salary Reason for Leaving
May we call? Employer Phone

Previous Employer

Employer
Employed Dates
Address
Work Performed
Job Title
Supervisor Name
Salary Reason for Leaving
May we call? Employer Phone

Have you been discharged from a job or asked to resign?

If yes please explain
Military Experience

Were you a member of the U.S. Armed Forces?

If yes which Branch
Education
High School
College
Bus, Tech, Trade or Post Graduate
Other
Special Skills
Computer Software
Licenses/Certifications
Languages
(Other than english)
Other Information
Acknowledge and Submit

I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.

I authorize investigation of past employment, education and activities, and agree to cooperate in such investigation, and release from all liability or responsibility all persons and/or entities requesting or supplying information from any damages that may result. I authorize Central Florida Recycling Center to request and receive such information.

Signature of Applicant
*
Date
*
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Central Florida Recycling Center

906 South Garfield Avenue, Deland Florida 32724 • Phone: 386-734-2080
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