water treatment
Application for Employment


U.S. Water Services Corporation is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status. U.S. Water Services is a Drug-Free Workplace.

Conditions of employment are stated at the end of this form. Please read carefully before you sign this application. Please answer all questions completely even if attaching a resume.

General Information

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General Information (cont.)

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    High School

  • Technical School

  • College

  • Other School

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Training / Certifications

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Employment History (start with most recent employer)

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Employment References (Managers, Supervisors, Peers, etc.)

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Notice Agreement

  • NOTICE TO APPLICANTS PLEASE READ BEFORE SIGNING I understand that, if hired, I will be placed in a probationary status. I further understand that if I am terminated for unsatisfactory work performance within this probationary period, the employer may seek to deny any unemployment benefits I might attempt to obtain as a result of my termination Furthermore, I understand and agree that all records, documents, or information relating to company business that may be acquired or may be in my possession during employment will be returned to the company immediately upon demand or upon termination of my employment for any reason whatsoever. I understand and agree that all policies, procedures, whether written, published or orally communicated by the employer may be modified, amended, or deleted by the employer with or without notice to me of such change(s); that the employer’s policies and procedures are not intended to be a contract of employment nor do they give me a right of continued employment; and if hired, my employment and compensation is “at will” and that they may be terminated at my option or at the option of my employer with or without prior notice to either party. I also agree there are no other written or oral arrangements, agreements, or understandings regarding the terms of my employment and that any amendments or exceptions to this statement must be in writing and signed by the President of U.S. Water Services Corporation. I certify that all information given to the employer by me in the form of an employment application, resume, or related papers, or answers given by me during oral interviews, are true and correct. I understand the employer may conduct a thorough investigation of my past work and personal history. I authorized the giving and receiving of any such information requested by the employer in the course of such investigation of my past work and personal history. I understand that falsification or any derogatory information discovered as a result of investigation may subject me to immediate dismissal for cause and the employer may seek to deny unemployment benefits as a result of my termination. I understand that as a condition of employment, I must take and pass a drug test, background check, and complete additional forms, new hire enrollment forms and company policy forms which governs my employment.


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