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Westbrook Service Corporation is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, religion, national origin, genetic information, disability, veteran status, sexual orientation/gender identity, citizenship status, marital status or any other status protected by law. We assure you that your opportunity for employment with this employer depends solely upon your qualifications.

Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the company. Please inform the company’s human resources representative if you need assistance completing any forms or to otherwise participate in the application process.

Please answer all questions completely. Resumes are not accepted in lieu of completion of this application. NOTE: This application was designed to use with several types of job positions. Some questions may not be completely applicable to the job position you are seeking; however, we ask that you answer all questions.
Personal Information
Name*
First Middle Initial Last
Email
Cell Phone*
Home Phone
Address*
Street Address City State ZIP Code
Are you over the age of 18*
- Yes
- No
If hired, can you provide verification of your legal right to work in the United States?*
- Yes
- No
If required for the position, do you have a valid driver’s license?*
- Yes
- No
Have you ever been involuntarily terminated or requested to resign?*
- Yes
- No
Please Explain*
Have you ever worked under a different name?*
- Yes
- No
Name*
Are you able to perform the essential functions of the position as listed and described on the attached job description or as demonstrated by the company representative with or without a reasonable accommodation?*
- Yes
- No
Do you have a non-compete agreement or are you subject to any restrictive covenant with any of your former employers?*
- Yes
- No
Please Explain*

Education:
Grammar / High School*
Name of School Location Course of Study Last Grade Completed Did You Graduate? Degree or Diploma
College/University
Name of School Location Course of Study Last Grade Completed Did You Graduate Degree or Diploma
Post Graduate
Name of School Location Course of Study Last Grade Completed Did You Graduate Degree or Diploma
Business/Trade Technical
Name of School Location Course of Study Last Grade Completed Did You Graduate Degree or Diploma
Describe any other specialized or professional training (such as business or technical school). Include study courses given through public or private employment. State whether degree or certification received.

Skills
If Applicable for Position for Which You Are Applying
Foreign Languages (indicate proficiency to speak, read and write)
PC Skills (Indicate software used)
Other Skills
Do you have any experience, training, qualifications or special skills that you think make you especially suited for work at this company? (Explain)

Employment History
(start with current or most recent employer). Account for all time periods including unemployment, self-employment and military service.
Current / Most Recent Employer*
Company Name Phone From Mo./Yr. To Mo./Yr.
Address*
Street Address City State ZIP Code
Job Title*
Supervisor Name*
Duties*
Reason For Leaving*
Previous Employer
Company Name Phone From Mo./Yr. To Mo./Yr.
Address
Street Address City State ZIP Code
Job Title
Supervisor Name
Duties
Reason For Leaving
Previous Employer
Company Name Phone From Mo./Yr. To Mo./Yr.
Address
Street Address City State ZIP Code
Job Title
Supervisor Name
Duties
Reason For Leaving

Have you ever been convicted of a crime, pled no contest, had adjudication withheld, or been a defendant in a civil action for an intentional tort?*
- No
- Yes
If “Yes” list offense, date and disposition of the case (Convictions will not necessarily disqualify you for the position)*
Please read carefully, initial each paragraph, and sign below

I understand that as a condition of employment I may be required to take a post-offer/pre-employment alcohol/drug test. I further understand that, if management suspects that I am under the influence of drugs or alcohol, I may be required to take a drug/alcohol test. I also understand that I may be required to submit to a random drug/alcohol test during the course of employment.
Initial*
I understand that all offers of employment are conditioned upon my providing satisfactory documentary proof of my identity and legal right to work in the United States.
Initial*
They your initials
I hereby acknowledge that I have read the above statements and understand them. I certify that I, the undersigned applicant, have personally completed this application. I declare that the facts contained in the application (or any resume or other documents submitted) are true and complete to the best of my knowledge. I understand that any misrepresentations or omissions will disqualify me from further consideration for employment, and will result in my dismissal from employment, if discovered at a later date.
Initial*
I hereby acknowledge that I have read the above statements and understand them. I certify that I, the undersigned applicant, have personally completed this application. I declare that the facts contained in the application (or any resume or other documents submitted) are true and complete to the best of my knowledge. I understand that any misrepresentations or omissions will disqualify me from further consideration for employment, and will result in my dismissal from employment, if discovered at a later date.
Initial*
Digital Signature of Applicant*
Date*
Date Format: MM slash DD slash YYYY

Every applicant for employment with Westbrook Service Corporation must have a clear driving record. Your driving record will be checked with Tallahassee.

To avoid unnecessary time and expense, please verify that you have a clear driving record.
My driving record IS CLEAR and I have no points against my license.*
- Yes
- No
My driving record is NOT CLEAR. Enter the number of points against your license.*
Comments
The facts set forth above are true and complete. I understand that if employed, false statements or omissions of information provided may be considered sufficient reason for dismissal. You are hereby authorized to make any investigation or my personal driving history.
Digital Signature of Applicant*
Date*
Date Format: MM slash DD slash YYYY

Give a summary of yourself and how you could benefit Westbrook Service Corporation, if hired.*
Email
This field is for validation purposes and should be left unchanged.

Personal Information

Employment Information:

Education:

Skills

Employment History

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Apply Online

Personal Information

Employment Information:

Education:

Skills

Employment History

CUSTOMER REVIEWS

Request a Bid

24 Hours a Day, 7 days a week 407-841-3310

HELPFUL LINKS

COMMERCIAL SERVICES

CUSTOMER
REVIEWS

Request
a Bid