Employment Application | Nation Waste, Inc.

Online Employment Application

To be considered for employment with Nation Waste, complete and submit the online Pre-Employment Screening Application below. It is the policy of Nation Waste, Inc. to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, handicap, or veteran’s status.

The form below has several sections – simply click on the Title of each section to display or hide all the fields in that section. Answer each question as completely and accurately as possible. If you need room for additional information or explanations, use the “Additional Information” field at the bottom of the form. Any field indicated with a red asterisk is required – your form cannot be processed until all required fields have been filled in.

Note: There is no way to “save” your application and work on it again later. You must complete the ENTIRE application and SUBMIT it to be considered for employment.

If you already have a current resume in MS Word or PDF format, click here to upload your resume.

* indicates required fields

Section 1: Personal Information

First Name *

Middle Name (or Initial)

Last Name *

Current Phone Number *

Alternate Phone Number

Email Address

Current Street Address *

City *

State *

Zip Code *

Have you lived at this address for more than 12 months? *

Yes

If no, please provide prior address(es)

Previous Addresses (over the past 12 months)

Are you eligible to be employed in the U.S.A.? *

Yes

Are you 18 years of age, or over? *

Yes

Have you eveer been convicted of a criminal offense? *

Yes

Please described the offense, location, date, and any relevant circumstances

A conviction record is not an automatic ban from employment. The nature of the crime will be considered in relation to the position for which you are applying.

Other names used in prior employment (if any).

End Section

Section 2: Work Interest

Position appied for: *

Minimum Sallary: *

Date availalble to work: *

Type of employment: *

Full Time

Part Time

Have you previously filed an application with Nation Waste, Inc. or its subsidiaries? *

Yes

If yes, when?

Are you currently employed? *

Yes

May we contact your current employer?

Yes

End Section

Section 3: Education

High School

Name of School *

City and State *

Did you graduate? *

Yes

Technical School

Name of School

City and State

Did you graduate?

Yes

Degree

College

Name of College

City and State

Did you graduate?

Yes

Degree

Other education:

Please list any other education information that may be relevant to the position.

Licenses and Certifications

Please list any licenses or certifications you hold that may be relevant to the position.

End Section

Section 4: Work History

Current or Most Recent Employer

Employer *

Street Address *

City *

State *

Zip Code *

Dates Employed: *

Starting Pay: *

Ending Pay: *

Reason for Leaving: *

Duties: *

Previous Employment

Employer

Street Address

City

State

Zip Code

Dates Employed:

Starting Pay:

Ending Pay:

Reason for Leaving:

Duties:

Employer

Street Address

City

State

Zip Code

Dates Employed:

Starting Pay:

Ending Pay:

Reason for Leaving:

Employer

Duties:

Street Address

City

State

Zip Code

Starting Pay:

Ending Pay:

Reason for Leaving:

Duties:

End Section

Section 5: References

Please list three to four professional and personal references.

Reference Name *

Reference Relationship *

Personal

Professional

Phone Number *

Address *

City *

State *

Zip Code *

Position *

Reference Name

Reference Relationship

Personal

Professional

Phone Number

Address

City

State

Zip Code

Position

Reference Name

Reference Relationship

Personal

Professional

Phone Number

Address

City

State

Zip Code

Position

Reference Name

Reference Relationship

Personal

Professional

Phone Number

Address

City

State

Zip Code

Position

End Section

Section 6: Military Status

Have you ever served in the military?

Yes

Branch of Service

Date Entered

Date Seperated

Final Rank

Are you a member of a reserve organization?

Yes

End Section

Section 7: Additional Information

Please use the field below to provide any additional information that you feel is relevant and important to your application.

Additional Information

End Section

Section 8: Submission

I understand this online form is a PRE-EMPLOYMENT SCREENING APPLICATION for initial evaluation by Nation Waste, Inc. If I am selected for further consideration, an actual written application may also be required as a condition of employment.
I hereby certify that the statements and other information I have provided in this application form are true and correct to the best of my knowledge and belief, and I authorize Nation Waste, Inc., and/or its duly appointed representatives, to investigate all statements or other information I have provided or referenced in this form.
I understand and agree that:
1. Any misrepresentation, falsification or material omission of information on this application may result in my failure to receive an offer, or, if I am hired, in my dismissal from employment.
2. Any offers of employment are conditioned on the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States.
3. An investigation may be made during the processing of this application, and I authorize any of the persons or entities referred to in this application form to provide to Nation Wastes, Inc. any and all information concerning my previous employment(s) or the other statements I have made in connection with this application.
I release all parties and persons from any and all liability for any damages that may result from furnishing such information to Nation Waste, Inc. as well as from the use or disclosure of such information by Nation Waste, Inc. or any of its agents, employees or representatives.
Should I be selected for employment by Nation Waste, Inc., I agree to conform to the rules and standards of Nation Waste, Inc., as well as all local, state and federal regulations and laws, and agree that my employment and compensation can be terminated at-will, with or without cause, and with or without notice, at any time, either at my option or at the option of Nation Waste, Inc.
I authorize Nation Waste, Inc. to transmit and store data from this application by means of a web-based forms processing system.
For the purposes outlined above, the action of submitting this online form shall take the place of my personal signature.

Security Verification

By the action of clicking the Submit button below, I am certifying and agreeing to the above terms and conditions and confirming this action takes the place of my signature.

End Section