Company Rep
Applicant Onboarding
Company Rep Onboarding Form
Applicant Info
Applicant Email
*
Confirm Applicant Email
*
Location (City, State)
*
Employee will be working at Republic Services
*
Yes
No
Client
Company
*
New or Rehire?
*
Select one
New
Rehire
Hired or Backup?
Select one
Hired
Backup
Position Type
Select one
Logistics Staffing
Cleaning
Security
Other
Position
Permanent or Temporary?
*
Select one
Permanent
Temporary
Full- or Part-time?
*
Select one
Full-time
Part-time
First Day of Employment
*
Employee #
*
Sent by
*
Recruited From
*
Regular Pay Rate
*
$
per hour
Overtime Pay Rate
*
$
per hour
Payform
*
Select one
GCC
Check
DD
BG
SSV
Reason
S/M
EEY/IC
Position involves driving co. vehicle?
*
Yes
No
Vehicle Year/Make/Model
Vehicle Color
Current Milage
License Plate #
VIN #
Company Rep Info
Last Name
*
First Name
*
Co. Rep Title
*
Employer Identification Number (EIN)
If you are human, leave this field blank.
Submit