Employment

CDL A&B Drivers: Check paperwork for quantity of linen to deliver. Load truck with clean linen. Locate empty bins for customer (1 empty for 3 loaded). Sign paperwork at scale verifying delivery. Deliver to customer dock. Unload linen in designated area customer. Interface with linen receiver. Load soiled linen. Maintain functional separation between clean & soiled linen. Secure load. Deliver paperwork to customer.

Employment Application

Step 1 of 6

To Bates Troy, Inc.
To: Bates Troy, Inc. I do hereby make application for employment in such a position that you may see fit to place me, with the understanding that if I am employed, you reserve the right to release me without notice upon payment of salary through the last day worked; and I further understand that this right to release me cannot be changed or modified except by written agreement signed by an authorized representative of the Company.
Position Desired*
Date
Name in Full*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
How Long at Current Address*
Phone
Employment Desired*
- Full-Time Only
- Part-Time Only
- Full or Part-Time
Days and Hours Available to Work
- No Preference
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday/Sunday
Salary Desired
How many hours can you work weekly?
Previous Employment 1
Date From
MM slash DD slash YYYY
Still Employed?
- Yes
Date to
MM slash DD slash YYYY
Name, Address & Telephone of Employer
Position Held
Reason for Leaving
Previous Employment 2
Date From
MM slash DD slash YYYY
Date to
MM slash DD slash YYYY
Name, Address & Telephone of Employer
Position Held
Reason for Leaving
Previous Employment 3
Date From
MM slash DD slash YYYY
Date to
MM slash DD slash YYYY
Name, Address & Telephone of Employer
Position Held
Reason for Leaving
Previous Employment 4
Date From
MM slash DD slash YYYY
Date to
MM slash DD slash YYYY
Name, Address & Telephone of Employer
Position Held
Reason for Leaving
Previous Employment 5
Date From
MM slash DD slash YYYY
Date to
MM slash DD slash YYYY
Name, Address & Telephone of Employer
Position Held
Reason for Leaving
Have you ever been discharged, or requested to resign?*
- Yes
- No
Please state from whom and why*
Additional Information An application sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Education 1
School
Address
Years Completed
Course of Study
Did you graduate?
- Yes
- No
Education 2
School
Address
Years Completed
Course of Study
Did you graduate?
- Yes
- No
Education 3
School
Address
Years Completed
Course of Study
Did you graduate?
- Yes
- No
Education 4
School
Address
Years Completed
Course of Study
Did you graduate?
- Yes
- No

Voluntary Self Identification of Disability
Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include.

Blindness, Deafness, Cancer, Diabetes, Epilepsy, Autism, Cerebral Palsy, HIV/AIDS, Schizophrenia, Muscular dystrophy, bipolar disorder, Major Depression, Multiple Sclerosis, Missing Limbs or partially missing limbs, PTSD, Obsessive compulsive disorder, Impairments requiring the use of a wheelchair, Intellectual disability/mental retardation.

Reasonable Accommodation Notice

Federal Law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform you job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973 as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
Please check one of the boxes below:
- Yes, I have a disability (or previously had a disability)
- No, I don't have a disability
- I don't wish to answer
Date
MM slash DD slash YYYY
Your Name

Voluntary Self-Identification of Disability
Federal Law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform you job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973 as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survery should take about 5 minutes to complete.
Comments
This field is for validation purposes and should be left unchanged.

Employment Application

Step 1 of 6

To Bates Troy, Inc.

Days and Hours Available to Work

Previous Employment 1

Previous Employment 2

Previous Employment 3

Previous Employment 4

Previous Employment 5

Education 1

Education 2

Education 3

Education 4

References

Reference 1

Reference 2

Reference 3

Employment Application Self-Identification Form

Definitions

Voluntary Self Identification of Disability

Voluntary Self-Identification of Disability

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