Employment Application – General General Employment Application To be read and signed by applicant: I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, schools, health care providers and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. I understand that information I provide regarding current and/or previous employers may be used, and those employer(s) will be contacted, for the purpose of investigating my safety performance history as required by 49 CFR 391.23(d) and (e). I understand that I have the right to: Review information provided by previous employers; Have errors in the information corrected by previous employers and for those previous employers to re-send the corrected information to the prospective employer; and have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.Signature*By typing my name in the box above I represent it as my signature and I authorize Casella Construction to fully investigate my background. Date* We are an equal opportunity employer In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.To attach a resume and cover letter please drag file here or click "Select Files" to browse. To complete our online application, please fill out the information below and skip this upload option. Drop files here or Position Applying for*Are you interested in full or part time?Rate of pay expectedName* First Last Email* Enter Email Confirm Email Phone*List your addresses for the past 3 years.* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How long here?Previous Address Street Address City State / Province / Region ZIP / Postal Code How long did you live here?Additional addresses (if needed)Do you have the legal right to work in the United States?YesNoHow did you hear of our job openings?Casella employee recommendationFriend's recommendation / Word of mouthAd on InternetSocial MediaCraig's ListIndeed websiteYouTube / Radio / TVCasella websiteVT Dept of Labor referralIf you previously worked at Casella Construction please list when and where.Are you employed now?YesNoIs there any reason you might be unable to perform the functions of the job for which you are applying?Employment HistoryMost recent employer Employer Name Address City State / Province / Region ZIP / Postal Code PositionRate of payEmployer phoneEmployer Email Name of supervisor First Last Employed From To Reason for leavingNext EmployerSecond most recent employer Employer Name Address City State / Province / Region ZIP / Postal Code PositionRate of payEmployer phoneEmployer Email Name of supervisor First Last Employed From To Reason for leavingNext EmployerThird most recent employer Street Address City State / Province / Region ZIP / Postal Code PositionRate of payEmployer phoneEmployer Email Name of supervisor First Last Employed From To Reason for leavingSpecial Experience or TrainingList any relevant skills, equipment training or other experience that may help in your work for Casella ConstructionList courses and training other than those shown elsewhere in this applicationList special equipment or technical materials you can work with other than any listed elsewhere in this applicationEducationGrade School - Highest grade completed12345678HIgh School - Highest grade completed9101112College - Number years attended, if any1234College Degree Earned?YesNoIf yes, what degree was earned in college?Electronic signature: I certify that all information is accurate and by typing my name in the box below, it will serve as my electronic signature.*NameThis field is for validation purposes and should be left unchanged.