Foss Recycling - La Grange, NC - Employment Applications

Today's Date *

First Name *

Middle Name *

Last Name *

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Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Confirm Email *

Date Available *

Desired Salary *

Position Applied for *

Are you a citizen of the United States? *

Yes

No

If NO, are you authorized to work in the United States?

Yes

No

Have you ever worked for this company? *

Yes

No

If YES, when and where did you work for Foss?

Have you ever been convicted of a felony? *

Yes

No

If YES, please explain the felony conviction.

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Education

High School Name

High School Address

City

State

Zip Code

Dates Attended

Did you graduate?

YES

NO

Diploma Received

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Higher Education

College Name

College Address

City

State

Zip Code

Dates Attended

Did you graduate?

Yes

No

Degree Received

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Additional Education

Other Educational Institution

Other Educational Institution Address

City

State

Zip Code

Dates Attended

Did you graduate?

Yes

No

Degree or Certificate Received

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References

Please list three professional references.

Name of Reference #1 *

Relationship *

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Phone *

Address

City

State

Name of Reference #2 *

Relationship *

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Phone *

Address

City

State

Name of Reference #3 *

Relationship *

New Field:

Phone *

Address

City

State

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Previous Employment History

Job Title *

Company *

Supervisor *

Phone *

Address

City

State

Starting Salary

Ending Salary

Job Responsibilities

May we contact your previous supervisor for a reference? *

Yes

No

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Previous Position #2

Job Title

Company

Supervisor

Phone

Address

City

State

Starting Salary

Ending Salary

Job Responsibilities

May we contact your previous supervisor for a reference? *

Yes

No

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Previous Position #3

Job Title

Company

Supervisor

Phone

Address

City

State

Starting Salary

Ending Salary

Job Responsibilities

May we contact your previous supervisor for a reference?

Yes

No

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Military Service

Have you served in the Military? *

Yes

No

Signature and Disclaimer *

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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Foss Recycling Inc. Application for Employment

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