In-House Employment Application

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Trimac Environmental Services LLC

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Personal Contact Information

* Indicates required field

Name: (First, Last) *

First

Last

First Name

Last Name

Cell # (xxx) xxx-xxxx *

Email *

Street Address *

City *

Zip Code *

State *

How long at current address *

Are you at least 18 years old? *

Yes No

Are you a US Citizen or Authorized to Work in the United States? *

Yes No

Work History

Last 3 employers

Company Name *

Dates Employed *

Supervisor Name *

Supervisor Phone Number *

Job Title *

What your tasks were *

Wage *

Reason for Leaving *

Company Name *

Dates Employed *

Supervisor Name *

Supervisor Phone Number *

Job Title *

What your tasks were *

Wage *

Reason for Leaving *

Company Name *

Dates Employed *

Supervisor Name *

Supervisor Phone Number *

Job Title *

What your tasks were *

Wage *

Reason for Leaving *

Education

Education Level *

Did you attend VoTech? *

Yes No

If attended VoTech what course? *

Training or Certification

CDL License *

Yes No

TWIC Card *

Yes No

Safeland Card *

Yes No

DOT Medical Card *

Yes No

Other Items

Gender *

Male Female

Registered Sex Offender? *

Yes No

Are you a felon? *

Yes No

If a felon please explain *

Do you have a current unrestricted drivers license? *

Yes No

Past 5 year traffic violations *

Are you able to climb ladders and work at heights *

Yes No

Are you able to travel and work out of town for short cycles? *

Yes No

Are you on any type of probation? If yes please explain. *

Yes No

Probation Explanation *

Are you required to pay child support? *

Yes No

Have you ever been employed at Trimac? *

Yes No

In your own words explain any experience you have had that will be beneficial for Trimac *

If hired what is the earliest date you could start? *

What is your at least expected pay rate if hired? *

**Will not submit unless all required items are filled in**

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Home
Metal Containment
- Containment Options
Lining Solutions-
Accessories
Quote Request
Contact Us
Employment