Careers

Please Fill the following employment application
Applicant Information
First Name
Last Name
M.L

Street Address
Apt/Unit#

City
State
Zip Code

Phone
Email

Date Available
Social Security No

Are you over the age of 18?
If NO, Please state your date of birth

Are you a citizen of the United States?
If NO, are you authorized to work in the U.S?

Are you ever been convicted of a felony?
If Yes, explain

Are you capale of performing the essential functions of the job for which you are applying with reasonable accomodation?
If NO, please describe
Union Affiliation
Local #
Years as member

Percentage of Pay
# of Years
Employment Record
Company Name
City
Phone
Job Title
Dates of Employment
to

Company Name
City
Phone
Job Title
Dates of Employment
to

Company Name
City
Phone
Job Title
Dates of Employment
to

Company Name
City
Phone
Job Title
Dates of Employment
to
Training
List special classes or seminars that you have attended. You must be able to provide proof of attendance, such as certificate or card.
OSHA 10-hr

Illinois Dept. of Public Health Asbestos

First Aid/CPR

Excavation Competent Person

Fall Protection

Scaffold Users Class

Scaffold Erectors Class
Powerline Awareness

Current Respirator Clearance

Bobcat Certificate

Forklift Operation

Other

Other

Other
Attachments
Please Read Carefully and sign that you undestand and accept this information.
I certify that the information on this application and its supporting documents inaccurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at later date. I authorize Environmental Cleansing Corporation to investigate, without liability, all statement contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Environmental Cleansing Corporation serve at will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed , I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and state loyalty oath, and to comply with company and departmental regulations. I understand that if the employed on temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be required to make mandatory contributions to the Environmental Cleansing Corporation Retirement System or to an optional retirement program, if applicable. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first SIX MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion and during which I may be terminated without right of appeal.
I hereby certify that above is true.