Employment Application

Please correct the following:
  • Last Name is Required
  • First Name is Required
  • Primary Address is Required
  • City of the Primary Address is Required
  • State of the Primary Address is Required
  • Zip Code of the Primary Address is Required
  • Primary Phone is Required
  • Please indicate whether or not you have ever been convicted of a crime.
  • Please indicate whether or not you are currently subject to a pending criminal charge.
  • Please indicate whether you are 18 years of age or older.
  • Please choose at least one position for which you are applying.
  • Please choose whether or not we can communicate with your past employers

Personal Information

General Information

Position Information

Education/Training Information

High School

Post-Secondary (Include technical, vocational, business, or military training)

College (Include college or university training and courses of study)

Graduate School (Include only graduate level training and courses of study)

Additional Skills & Training

Employment Information

Current or Last Employer

Previous Employer

Previous Employer

Previous Employer

Reference Information include a minimum of two (2) current or previous supervisors/managers

Reference 1

Reference 2

Reference 3

Authorization and Signature

The facts set forth above in my application for employment are true and accurate. I understand that if I am employed, any false statements on this application shall be considered sufficient cause for termination. I hereby authorize Green Bay Metropolitan Sewerage District to determine my suitability and justification for employment, to contact any or all of my previous employers and otherwise to investigate my character, general reputation, personal characteristics, work habits, skills and/or abilities. I authorize persons, schools, and employers named in this application to provide Green Bay Metropolitan Sewerage District with any relevant information that may be required to arrive at an employment decision. In connection therewith and in consideration of the undertaking of Green Bay Metropolitan Sewerage District to review this application for employment and to consider me for hire, I hereby release and acquit Green Bay Metropolitan Sewerage District from any liability whatsoever for any damage which I may suffer or sustain by reason of its use of any such report or information. I have no objection to taking a pre-placement health assessment by a medical provider designated by Green Bay Metropolitan Sewerage District. I agree to conform to the rules and regulations of Green Bay Metropolitan Sewerage District and understand that if I am hired, employment is not for any specific period of time and that my employment and compensations can be terminated, with or without cause, and with or without notice, at any time at the option of either Green Bay Metropolitan Sewerage District or me.

Attachments

 

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Fixa Leak Week 2017