City of Spokane Solid Waste Collection logo
City of Spokane Solid Waste Management logo
915 N. Nelson St., Spokane, WA 99202 • Phone: 311 inside city limits or 509.755.CITY (2489) for outside the city • Fax: 509.343.9652
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Seasonal Temporary Employment Application

Answer all questions; if the question does not apply to you - type N/A. We are an equal opportunity employer.

Position Desired:
Refuse Collector
Clerk
How did you learn of this position?
Name (Last, First, M.I.):
Address (Street / P.O. Box):
(City):
(State):
(Zip Code):
Phone xxx-xxx-xxxx:
Birth Date (Optional):
Social Security Number (only last 4 XXXX):
Keyboard Speed (wpm):
Computer Programs:
Craft Skills (Electrical, Carpenter, etc.):
Equipment Operated, Including Size (Trucks, Tractors, Forklift, etc.):
Related Skills:
Customer Service Experience:
Were you referred by a City Employee?:
Yes
No
*If yes, please answer the following
Name:
Relationship:
Department:
Have you worked for the City of Spokane before?:
Yes
No
*If yes, please answer the following:
Department:
Supervisor:
Dates From mm/dd/yy:
Dates To mm/dd/yy:
Have you ever been discharged (fired) or resigned to avoid discharge, except for reduction in force (RIF) because of lack of work?:
Yes
No
*If yes, please explain:
Are you presently unemployed?:
Yes
No
*If yes, since date mm/dd/yy:
*If no, may your present employer be queried?:
Yes
No


Begin with your present/most recent position and work backwards. List the last five positions you held since college/high-school. Make sure your information is complete. Be prepaired to explain gaps in your employment history. Accurate, current phone numbers of immediate supervisors are required.

1. Employer:
Date From mm/dd/yy:
Date To mm/dd/yy:
Address - Street/City/State/Zip:
Job Title:
Reason for leaving:
Supervisor Name:
Phone# xxx-xxx-xxxx:
Duties:




2. Employer:
Date From mm/dd/yy:
Date To mm/dd/yy:
Address - Street/City/State/Zip:
Job Title:
Reason for leaving:
Supervisor Name:
Phone# xxx-xxx-xxxx:
Duties:




3. Employer:
Date From mm/dd/yy:
Date To mm/dd/yy:
Address - Street/City/State/Zip:
Job Title:
Reason for leaving:
Supervisor Name:
Phone# xxx-xxx-xxxx:
Duties:




4. Employer:
Date From mm/dd/yy:
Date To mm/dd/yy:
Address - Street/City/State/Zip:
Job Title:
Reason for leaving:
Supervisor Name:
Phone# xxx-xxx-xxxx:
Duties:




5. Employer:
Date From mm/dd/yy:
Date To mm/dd/yy:
Address - Street/City/State/Zip:
Job Title:
Reason for leaving:
Supervisor Name:
Phone# xxx-xxx-xxxx:
Duties:




Education:
School Name City/State Number of Years Last Date Attended Degree?
High School Yes
No
College Yes
No
Major Study Yes
No
Other Yes
No
 
Please attach additional papers or a resume (not required):
 
Related work experience/training not listed elswhere:


So Certified and Accepted


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Spokane Solid Waste Collection
915 N. Nelson St.
Spokane, WA 99202 USA
509-625-7878
http://www.spokanecitysolidwaste.com
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