Employee Application

Thank you for your interest in employment with Jim’s Mille Lacs Disposal.
Please fill out this form to the best of your ability.
We may require additional information from you if we move forward with the hiring process.

Position(s) Applied For:

Driver

Mechanic

Shop Help

Office

Full Legal Name as Appears on your Drivers’ License:*

Phone Number:*

Email Address:*

Current Street Address (including City, State, Zip):

Desired Start Date:

Are you legally eligible to work in the United States:

Yes

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Please note that a “Yes” answer to any of the following questions will not necessarily disqualify you from employment.

Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making any employment decisions.

Have you ever been convicted of a crime? If yes, please elaborate:

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**DO NOT INCLUDE CONVICTIONS THAT WERE SEALED OR EXPUNGED PURSUANT TO A COURT ORDER**

Do you have any licenses, certifications, or special training as applies to your desired position? If yes, please elaborate:

List each employer name (& corresponding job title) you’ve had in the past 2 years:

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For Positions Related to Driving:

Has your Drivers’ License ever been revoked or suspended? If yes, please explain:

Have you had any Moving Violations in the last 7 years? If yes, please explain:

Is there anything else you’d like us to know (reference, relevant skills, education, awards, etc)?

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I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE THE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE, AND RELEASE THE COMPANY FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION. I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF THIS COMPANY HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED COMPANY REPRESENTATIVE. THIS WAIVER DOES NOT PERMIT THE RELEASE OR USE OF DISABILITY-RELATED OR MEDICAL INFORMATION IN A MANNER PROHIBITED BY THE AMERICANS WITH DISABILITY ACT (ADA) AND OTHER RELEVANT FEDERAL AND STATE LAWS.

Enter Full Name:*

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320-983-6474 | Monday thru Friday 7am to 5pm.

Office is closed on Holiday’s.

320-983-6474