ACUA Online Application

Thank you for your interest in employment with Atlantic County Utilities Authority.
Please complete all sections for your application to be considered.

ACUA Mission Statement

The Atlantic County Utilities Authority is responsible for enhancing the quality of life through the protection of waters and land from pollution by providing waste management services. The Authority is an environmental leader and will continue to use new technologies, innovations, and employee ideas to provide the highest quality and most cost effective environmental services.

General Info

Positions

Eligibility

Employment

Education

Skills

EEO

Last Name

First Name

Middle Name

Street Address 1

Street Address 2

City

State

Zip Code

Mailing Address
(if different than street address)

Primary Phone

Secondary Phone

Email Address

Referral Source

Do you have a valid NJ Drivers's License?

YesNo

Do you have a valid Commercial Drivers License (CDL)?

YesNo If so, what class?

Endorsements

Have you previously been employed by the ACUA?

YesNo

Veteran Status

Disabled
Vietnam
Other

Discharge Date

Please list any references or referrals

Please be advised the positions listed below may not be available! Please be sure to review the position descriptions and qualifications, then select the position(s) for which you are qualified. Applications are kept on file for 6 months. Only those applicants that meet the qualifications when a position becomes available will be contacted. NO PHONE CALLS!

Mark To Apply	Position	Description
True	Driver	Safely operate heavy company equipment during collection of waste materials from homes & businesses. Must be able to work long hours in all weather conditions. Requires heavy lifting.
False	Instrumentation Tech II	Responsible for the supervision of the maintenance and repair of all Authority equipment.
False	Laborer	Collect waste material from homes & businesses. Must be able work long hours in all weather conditions. Requires heavy lifting.
False	Mechanic II	Responsible for repair and maintenance of all mechanical equipment
False	Wildlife Tech Intern	This position is responsible for all activities related to bird control activity at the ACUA landfill.

Are you able to perform the duties of the position for which you have applied?	YesNo
If No, please explain:

Employer 1
Company Name
Address
City
State
Zip Code
Telephone
Email
Employed From:	/ To: /
Job Title
Name of Supervisor
Reason for leaving or seeking other employment
Describe your work duties

Employer 2
Company Name
Address
City
State
Zip Code
Telephone
Email
Employed From:	/ To: /
Job Title
Name of Supervisor
Reason for leaving or seeking other employment
Describe your work duties

Employer 3
Company Name
Address
City
State
Zip Code
Telephone
Email
Employed From:	/ To: /
Job Title
Name of Supervisor
Reason for leaving or seeking other employment
Describe your work duties

Employer 4
Company Name
Address
City
State
Zip Code
Telephone
Email
Employed From:	/ To: /
Job Title
Name of Supervisor
Reason for leaving or seeking other employment
Describe your work duties

Please explain gaps and/or lack of employment history. Incomplete information could disqualify you from further consideration.

School 1
School Name
School Location
Field Of Study
Degree/Certificate/Diploma Earned
Did you graduate?	YesNo

School 2
School Name
School Location
Field Of Study
Degree/Certificate/Diploma Earned
Did you graduate?	YesNo

School 3
School Name
School Location
Field Of Study
Degree/Certificate/Diploma Earned
Did you graduate?	YesNo

The Equal Employment Opportunity Commission (EEOC) requires organizations with 100 or more employees to complete an EEO-4 report every two years. Completion of this data is voluntary and will not affect your opportunity for employment or terms or conditions of employment. This form will be used for EEO-4 reporting purposes only and will be kept separate from all other personnel records only accessed by Human Resources Department.

Name
Job Title

Gender (Please check one of the options below)

	Male
	Female

Race/Ethnicity
(Please check one of the descriptions below corresponding to the ethnic group with which you identify.)

	Hispanic or Latino A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
	White (Not Hispanic or Latino) A person having origins in any of the original peoples of Europe, the Middle East or North Africa.
	Black or African American (Not Hispanic or Latino) A person having origins in any of the black racial groups of Africa.
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.
	Asian (Not Hispanic or Latino) A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.
	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above five races.

Date Completed
Thank you for your participation!

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