Employment Application

Name*
First Last
Email*
Phone*
Address*
Street Address City State ZIP Code
Highest level of high school completed?*
Did you graduate?*
- Yes
- No
Did you attend college?*
Did you graduate?*
- Yes
- No
Do you have any certifications?*
Position being applied for*
Salary Expectations*
Availability to start*
Why are you seeking new Employment?*
Are you authorized to work in the United States?*
- Yes
- No
Have you ever applied for work with us before?*
- Yes
- No
Are you currently working?*
- Yes
- No
How many years of truck driving experience do you have?*
Do you have a CDL B or above?*
Do you have a valid Air Brake Endorsement?*
Are you willing to undergo a background check, in accordance with the local laws and regulations?*
- Yes
- No
Are you willing to undergo an MVR (motor vehicle report) check?*
- Yes
- No
Have you ever been charged or convicted of a felony (including a guilty or no contest please)?*
- Yes
- No
If so, please explain.*
Have you ever been involuntarily terminated for a job?*
- Yes
- No
If so, please explain.*
Last 3 Employers
Compay 1*
Position*
Start Date*
End Date*
Reason for Leaving*
Supervisor*
Compay 2*
Position*
Start Date*
End Date*
Reason for Leaving*
Supervisor*
Compay 3*
Position*
Start Date*
End Date*
Reason for Leaving*
Supervisor*
Professional References
Reference 1*
Phone*
Reference 2*
Phone*
Why do you feel you are the best candidate for this position?*
Upload Resume*
Drop files here or
*By submitting this form, you agree to the Applicant’s Certification and Agreement
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Plummers Disposal Service
1160 Electric Ave
Wayland, MI 49348
Call Us 616.261.4344

Last 3 Employers