Title: Open Position

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Name *
Last Name *
What is your social security number? *

Contact Details

Email Address *
Address *
City *
Post code *
Country *
How long have you been at present address?
Telephone *
Cell phone *

Qualifications

Do you have a degree? * Yes
No
Where did you complete your degree? *
Title of your degree *
Upload your Resume *
 
Do you have a CDL License? * Yes
No
What is your drivers license number? *
What is the expiration date of your license? *
How long have you had your license? *
If under 18, please list your age. *
What position are you applying for? *
What is your desired salary? *
How many hours can you work weekly? *
What hours are you available to work? *
Employment desired: * Full-Time
Part-Time
Temporary
When are you available to begin working? *
Have you applied for employment at Lee\\\’s Disposal in the past? * Yes
No
If yes, when? *
Have you ever been convicted of a crime, other than a traffic violation? * Yes
No
Are you legally eligible for employment in the US? * Yes
No
May we contact your current employer? * Yes
No
Did you complete this application yourself? * Yes
No
If not, who did? *
* I have read and understood the privacy policy.

Current Employer

Employer
Address
Position
Telephone
Start Date of Employment
End Date of Employment (If currently employed do not select date)
Salary
Supervisor
Telephone
Can we contact this supervisor? Yes
No
Duties
Reason for leaving?

Previous Employer

Employer
Address
Position
Telephone
Start Date of Employment
End Date of Employment
Salary
Supervisor
Telephone
May we contact this supervisor? Yes
No
Duties
Reason for leaving?

Education History

High School
Location
Number of years completed
Major&Degree
College Name
Location
Number of years completed
Major & Degree
Buiness, Trade, or Professional School Name
Location
Number of years completed
Major & Degree

References

Name
Position
Company
Address
Telephone
Second Reference
Position
Company
Address
Telephone