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EMPLOYMENT APPLICATION
Updated 10/25/2022
Step
1
of
3
33%
Wasatch Integrated Waste Management District (Wasatch) is an equal opportunity employer. Wasatch considers applicants for all positions without regard to race, color, religion, gender, age or disability, marital or veteran status, or any other legally protected status. Wasatch provides reasonable accommodations to the known disabilities of applicants in compliance with the Americans with Disabilities Act.
Which job are you applying for?*
*
YOUR INFO
Name
*
First Name*
Middle Initial*
Last Name*
Address
*
Street Address*
Address Line 2 (optional)
City*
State*
Zip Code*
Country*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
*
Email
*
How did you hear about us?
*
Type of Employment Desired
*
Full-Time
Part-Time
Salary/Wage Desired (Hourly)
*
Have you ever worked for Wasatch Integrated?
*
Yes
No
Please list dates and position.
Start Date
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
Position/Title
*
List any relatives presently employed by Wasatch Integrated
Can you provide proof, if hired, that you are eligible to work in the United States?
*
Yes
No
Have you ever been convicted of a crime, (other than a minor traffic violation), plead guilty or no contest, entered into a plea or diversion agreement to avoid prosecution?
*
Yes
No
Please provide date, location and explanation. A conviction may not bar you from employment but will be reviewed as a part of your completed application.
*
EMPLOYMENT EXPERIENCE
Start with the most recent employment and list all employment for the past 10 years (include military service and volunteer service).
DO NOT PUT "SEE RESUME"
MOST RECENT JOB/POSITION
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Position/Title
Employer (Company) Name
City
State
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Supervisor's Name
Supervisor's Title
Phone
Your Duties
Reason for leaving?
May we contact?
Yes
No
WORK2
ADD ANOTHER JOB/POSITION
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Position/Title
Employer (Company) Name
City
State
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Supervisor's Name
Supervisor's Title
Phone
Your Duties
Reason for leaving?
May we contact?
Yes
No
Work Experience #3
ADD ANOTHER JOB/POSITION
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Position/Title
Employer (Company) Name
City
State
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Supervisor's Name
Supervisor's Title
Phone
Your Duties
Reason for leaving?
May we contact?
Yes
No
WORK4
ADD ANOTHER JOB/POSITION
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Position/Title
Employer (Company) Name
City
State
Please Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Supervisor's Name
Supervisor's Title
Phone
Your Duties
Reason for leaving?
May we contact?
Yes
No
EDUCATION
Have you graduated from high school or completed the GED equivalent?
*
Yes
No
Please list any education or training beyond high school
You will be required to submit copies, transcripts, or certificates of completion for any education or training beyond high school.
Technical/Business
School Name
School Location
Academic Major
Years Completed
Did you graduate?
Degrees Received
Add
Remove
College or University or Other
School Name
School Location
Academic Major
Years Completed
Did you graduate?
Degrees Received
Add
Remove
Additional
School Name
School Location
Academic Major
Years Completed
Did you graduate?
Degrees Received
Add
Remove
Did you serve in the military?
*
Yes
No
Please detail any military experience that would be relevant to the job you are applying for.
SKILLS AND ABILITIES
Please indicate any skills related to the job you are applying for.
Skills
*
Front-end Loader
Scraper
Dozer
Trash Compactor
Grader
Excavator
Water Truck
Welder
Windrow Turner
Container/Roll-off truck/side dump
Keyboard
10 Key
Office Software
Answering Phones
Customer Service
Scale House Attendant
Other
Explain Other
Please list any professional or trade licenses, certificates or registrations:
Type
Number
State
Current? (Yes/No)
Add
Remove
DRIVERS LICENSE
Do you have a valid Utah Driver's License?
*
Yes
No
Do you have a valid Utah Commercial Driver's License?
*
Yes
No
REFERENCES (OPTIONAL)
List
Name
Phone
Occupation
Years Known
Add
Remove
Upload Resume
Accepted file types: jpg, pdf, doc, docx, txt, Max. file size: 10 MB.
5 MB file size limit. File types allowed: .pdf, .docx, .doc, .txt
Consent
*
I authorize investigation of all statements contained herein and grant any previous/current employer or listed individual permission to give and release to Wasatch and its representatives any and all information they may have concerning me. I also release them and my prior employers and representatives from any liability or any damage whatsoever for providing information about me. I release Wasatch and its representatives of any liability for the use of this information in considering and reviewing my application for the available position and during my employment if I am selected. I hereby certify all statements made in this application and all other documents are true and complete, and I understand that falsification of this information is grounds for refusal to hire or, if I've been hired, is sufficient cause for dismissal at any time.
Wasatch is a drug free workplace and I understand if a job offer is made successful passing of a pre employment drug screen will be required.
I understand this employment application and any other Wasatch document are not contracts of employment and that if I am employed by Wasatch, my employment will be "at will," and may be terminated with or without cause at any time by me or the employer.
I agree
*
Signature
*
Today's Date
*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
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