Job Application

Are You Looking to Join Our Team?

A job application for the Waste Authority is available below for you to download.

You can mail or fax the completed application to the appropriate location.

We will keep your application on file for future reference.

Download Job Application

Mail application to:

Monroe County Municipal Waste Management Authority
183 Commercial Blvd.
Blakeslee, PA 18610

Fax application to:

570-643-6112

Email application to:

Noor Jabri

njabri@thewasteauthority.com 

Monroe County Municipal Waste Management Authority

Job Application

 

Position(s) applied for:

Seeking:

Date available:

Have you ever been employed by Monroe County?
YesNo

If yes, date:

 

Applicant's Name: First, MI, Last

Address:

City:

State:

Zip Code:
 

Phone number (include area code):
 

Are you:
Under 18 years of ageOver 18 years of age

Are you a veteran of the U.S. Military Service?
YesNo

If so, branch:

Are you legally employable under the U.S. Immigration Laws?
YesNo

Can you travel if job requires?
YesNo

Do you have adequate transportation to be able to report to work as required by the job?
YesNo

Have you ever been convicted of a felony or a misdemeanor?
YesNo

If yes, describe in full including dates: such convictions may be relevant if job-related, but may not necessarily disqualify applicant of employment.

 

Prior Employment Experience


 

Starting with your present/most recent job, list positions or assignments held for the last 10 years, more than 5 previous employers. Fill out work history section completely. DO NOT write "see in resume".

May we contact your previous employers?
YesNo

 

Employer:

Address:

Phone:

Job Title:

Employed From:

To:

Salary:

Supervisor's Name:

Reason for leaving:

Duties and Resposibilities:

 

Employer:

Address:

Phone:

Job Title:

Employed From:

To:

Salary:

Supervisor's Name:

Reason for leaving:

Duties and Resposibilities:

 

Employer:

Address:

Phone:

Job Title:

Employed From:

To:

Salary:

Supervisor's Name:

Reason for leaving:

Duties and Resposibilities:

 

Employer:

Address:

Phone:

Job Title:

Employed From:

To:

Salary:

Supervisor's Name:

Reason for leaving:

Duties and Resposibilities:

 

Employer:

Address:

Phone:

Job Title:

Employed From:

To:

Salary:

Supervisor's Name:

Reason for leaving:

Duties and Resposibilities:

 

Education History


 

High School

Location:

# of years attended:

Graduated:
YesNo

Course of Study:

 

College/University:

Location:

# of years attended:

Graduated:
YesNo

Course of Study or Degree:

 

Grad/Pror. School (or 2nd College/Uni.):

Location:

# of years attended:

Graduated:
YesNo

Course of Study or Degree:

 

Trade/Business School:

Location:

# of years attended:

Graduated:
YesNo

Course of Study or Degree:

 

Other:

Location:

# of years attended:

Graduated:
YesNo

Course of Study or Degree:

 

List trade or professional organizations of which you are a member, including offices held (you may exclude those that would reveal sex, race, religion, national origin, age, ancestry, handicap or other protected status):

List additional skills, education and/or training which pertains to the position(s) applied for:

 

References

Give names, addresses, and phone numbers of three (3) personal references (not related to you).

Name:

Address:

Area code & Phone Number:

Name:

Address:

Area code & Phone Number:

Name:

Address:

Area code & Phone Number:

Applicant's Statement

I certify that the information provided in this employment application is true and complete. I understand that any false information or significant omissions may disqualify fro further consideration for employment, and may result in my dismissal from employment, if discovered at a later date. I agree to immediately notify Monroe County if I should be convicted of a felony, or anything involving dishonesty or a breach of trust while my job application is pending, or during my employment at Monroe County, if hired.
I authorize investigation of all statements contained in this application. I also authorize Monroe County to contact my present employer (unless otherwise noted in this application form), past employers, and any or all references listed.
I authorize any person, school, current or previous employer, and organizations named in this application form to provide Monroe County with relevant information that may be useful to Monroe County at will for any or no reason, at any time.
I understand that if my employment is terminated by Monroe County for dishonesty, breach of trust, criminal acts, the authorities may be notified and I may be criminally prosecuted. I also understand if I am hired, I may not hold other employment, nor engage in sales, investments or other activities that create a conflict of interest with my position with Monroe County.

 

Electronic Signature:

Date:

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