Plumas Sanitation Job Application Form

Plumas Sanitation - Keeping the environment from going to waste.

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Plumas Sanitation Job Application Form

* Required

How were you referred to us?

Position Applied for: *

Title

First Name *

Last Name *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Cell Phone Number *

Email Address *

Date Available To Start:

Social Security Number *

Salary Requirements: *

If you answered no, and can't provide a work permit, please explain.

If you are under 18 years of age, can you provide a work permit?
Yes
No

If you answered yes, and have pleaded guilty, no contest or have been convicted of a crime, please give dates and details.

Have you ever worked for us?
Yes
No

If you have worked for us, when?

Are you legally allowed to work in the United States?
Yes
No

Type of employment desired:
Full-Time
Part-Time
Temporary
Seasonal

Have you ever pleaded guilty, no contest or been convicted of a crime?
Yes
No

Driver's license number (if applicable to position):

Driver's Licenses State:

Summarize Your Special Skills or Qaulifications

Summarize Your Special Skills or Qaulifications

Previous Employment. Please describe your THREE most recent positions. Include starting and ending salary details, address, supervisor name, responsibilities, phone numbers and how long you worked at that position.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. *

Enter Word Verification in box below *

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Plumas Sanitation, Inc • 73762 Industrial Way • Portola, CA 96122-1297
Phone: 530.832.0370 • Fax: 530.832.0373
Sanitation System C-42 License: 958997
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