An Equal Opportunity Affirmative Action Employer

WASTE INDUSTRIES USA, INC.
APPLICATION FOR EMPLOYMENT
Please Read Before Completing This Application


No recruiting, agency, or third party resumes. No phone calls please.

Waste Industries does not discriminate in hiring or employment and prohibits harassment on the basis of race, color, sex, religion, national origin, age, sexual orientation, marital status, genetic information, disability, veteran status, or any other characteristic protected by federal law or the law of the state or locality where you work. No question on this application is intended to secure information to be used for such discrimination. We will make reasonable accommodations to enable employees to perform their jobs.

We advise that we intend to check and hold you responsible forthe accuracy of the statements you make on this application.

This application will receive active consideration for thirty (30) days. if you have not heard from Waste Industries within thirty days and wish to receive further consideration for employment, you must complete another application form. This application must be completed in its entirety to be considered for employment.

Fields with a * are required.


RESUME UPLOAD  (OPTIONAL)

 Resume Upload  (optional)
Click on the "Browse..." button and select the resume file that you would like to upload.
Only Microsoft Word format documents can be uploaded.

When submitting a resume, please continue to fill out the required Personal Information, Permanent Address, Contact Information and if desired, the Voluntary Affirmative Action Information. Fields with a * are required.

Please remember that your resume will not be sent until you click “Submit Application” at the bottom of this screen.   

 

If you do not have a resume, please complete the requested information below.


PERSONAL DATA


*Last *First MI
Name *Are you 18 or older?

*Street *City *State *Zip
Address

Length of Time at This Address *Telephone No. Email

If applying for a driver position please provide the following information:

Driver License Number Class of License

Have you been involved in any vehicle accidents or violations in the past 7 years?
When (MM/YYYY) Explain

If you are currently working may we contact your present employer?

Have you ever been convicted of a felony?
When (MM/YYYY) Offense
Waste Industries conducts pre-employment background checks. A felony conviction will not preclude you from eligibility for employment.

Are you currently authorized to work in the U.S. on an indefinite basis?

Will you now or in the future require immigration sponsorship in order to work in the U.S.?



EMPLOYMENT DESIRED


MM/DD/YYYY
Position *Date Available
Salary Desired
Location

Can you perform the essential functions of the position for which you are applying either with or without reasonable accommodation?
(If you have any question as to what functions are applicable to the position for which you are applying, please ask the interviewer before you answer the question)   

*How did you learn about the company?

MM/YYYY
Have you ever applied or worked with Waste Industries? Date Location



WORK HISTORY


Starting with your present or last job, list each job held, including military service and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, age, national origin, disabilities, genetic information, veteran status, or other protected status.
CDL-DRIVERS MUST COMPLETE 10 YEAR HISTORY

Employer 1  
Work Performed
Reason for Leaving
Job Title
Supervisor - Name
Phone
Employed From Date MM/YY To Date MM/YY
Hourly Rate/Salary From To Final



Employer 2  
Work Performed
Reason for Leaving
Job Title
Supervisor - Name
Phone
Employed From Date MM/YY To Date MM/YY
Hourly Rate/Salary From To Final



Employer 3  
Work Performed
Reason for Leaving
Job Title
Supervisor - Name
Phone
Employed From Date MM/YY To Date MM/YY
Hourly Rate/Salary From To Final



Employer 4  
Work Performed
Reason for Leaving
Job Title
Supervisor - Name
Phone
Employed From Date MM/YY To Date MM/YY
Hourly Rate/Salary From To Final



Employer 5  
Work Performed
Reason for Leaving
Job Title
Supervisor - Name
Phone
Employed From Date MM/YY To Date MM/YY
Hourly Rate/Salary From To Final



MILITARY SERVICE



Active Duty Service From MM/YYYY to MM/YYYY
Branch of Service



EDUCATION



School Major Diploma/Degree
1
2
3



SPECIAL SKILLS


Special Skills and Qualifications acquired from previous employment or other experience:


Do you have any other skills you wish to mention?


List any other special training skills or experiences you feel qualify you for a position with Waste Industries.




REFERENCES


List three professional references, current or former employers, whom you have known at least one year.

Name Address Phone Occupation
1
2
3



VOLUNTARY AFFIRMATIVE ACTION INFORMATION


As a federal contractor, Waste Industries is required to maintain records of the race and sex of applicants in connection with its affirmative action plans. For this reason, and this reason only, Waste Industries invites you to indicate your sex and which race/ethnic category that applies to you. If you do choose to provide it, this information will not affect your being considered for employment opportunities for which you are qualified.

Race/Ethnic Sex



AFFIDAVIT


I authorize, without liability, investigation or all statements in this application.

I authorize all schools which I attended and all previous employers to furnish to the Company my record, reason for leaving and all information they may have concerning me, and I hereby release them and the Company from all liability for any damage whatsoever arising therefrom.

I authorize my neighbors, friends or others with whom I am acquainted or who are acquainted with me to furnish the Company with information used in connection with the evaluation of my qualifications as a prospective employee.

I understand that as a condition or employment I will be required to undergo and successfully pass substance abuse screening. I also understand and agree that if employed, to the extent permitted by the law of the state where I work, I will be subject to random substance abuse testing according to company policy and subject to substance abuse testing when there is reasonable cause and/or reasonable suspicion that I am violating the Company's Policy Prohibiting Substance Abuse. If I am employed in a job that requires a CDL license, I understand that any substance abuse testing applicable to me will be conducted in accordance with U.S. Department of Transportation regulations.

I understand that in the event of my employment by the Company, it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon my employment in accordance with the Federal law. In the event of my employment by the Company, I agree to abide by all present and subsequently issued rules of the Company. I understand that all employment with Waste Industries is at will, which means that either the company or I can end the employment relationship at any time for any lawful reason, either with or without cause. I understand that no one at the Company except the President is authorized to make any promises or representations to me that vary the at will nature of any job offered to me. 


SIGN AND SUBMIT


By typing your name in the box below, you are certifying that all of the above information is true to the best of your knowledge.

*Type your name here  
*Type the date here MM/DD/YYYY




This data will be used or distributed for employment purposes only within the Waste Industries organization.
Press the Submit button to send your application to Waste Industries.  Thank You.