We are now hiring an Office Support Specialist to join our team. Download Here If you’re interested, please complete form below. Last Name* First Name* M.I Date of Birth Other names under which you have attended school or been employed Address* Apartment/Unit # State* Zip Code* Phone*Email* Date Available* Social Security No. Driver License No. Position Applied for and Desired Salary Are you a citizen of the United States?* Yes No If no, are you authorized to work in the U.S?* Yes No Have you ever worked for this company?* Yes No If yes, when? Have you ever been convicted of a felony?* Yes No If yes, explain EducationHigh School Address From To Did you graduate? Yes No Degree College Address From To Did you graduate? Yes No Degree Other Address From To Did you graduate? Yes No Degree References Please list three professional references.Full Name Relationship Company PhoneAddress Full Name Relationship Company PhoneAddress Full Name Relationship Company PhoneAddress Previous EmploymentCompany PhoneAddress Supervisor Job Title Starting Salary $ Ending Salary $ Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company PhoneAddress Supervisor Job Title Starting Salary $ Ending Salary $ Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Military ServiceBranch From To Rank at Discharge Type of Discharge If other than honorable, explain Disclaimer and Signature Please read carefully and sign that you understand and accept this information. I certify that the information on his application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment or termination after employment if discovered on a later date. I authorize A&B Portable Talets, Inc. to investgate. without liability, to make full response to and inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that the ducoment is NOT an offer of employment, and that an offer of employment, If tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of A&B Portable, Inc. serve at will and the employment relationship may be terminated a any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to provide a proof of eligibility to work in the United States, to file a State security questionaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for the hours worked only, and ineligible for benefits including paid time off. If employed on regular, benefits eligible basis. I understand that i would be required to make mandatory contributions to the A&B Portable Toilets, Inc. Retirement System or to an optional retirement program, If applicable, I understand that any benefits I may receive may be subject to change or discontinuation at any time without prior notice. I undertand that the first SIX MONTHS of regular employment represent a provisional period, during which i would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal. Signature Reset signature Signature locked. Reset to sign again Date* Upload ResumeMax. file size: 2 MB.CAPTCHA Δ
