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Online Application
We are an equal opportunity employer.
(*
Indicates required fields
)
Date:
*E-Mail:
*Name:
Phone #:
Address:
Mobile #:
City:
State:
Zip:
How were you referred to our company?
Have you worked in the cleaning industry before?
Yes
No
List any relevant experience:
Position Applying For:
Full-Time
Part-Time
Date Available for Employment:
Hours Available to Work:
Days Available to Work:
M
Tu
W
Th
F
S
Su
Are you legally entitled to work in the United States?
Yes
No
(You must be a legal citizen of the United States
or provide supporting documentationallowing you to work.)
Are you willing to submit to a drug test?
Yes
No
Are you willing to submit to a background check?
Yes
No
Have you ever been convicted of a felony? (If yes, please explain:)
Yes
No
Are you bondable?
Yes
No
Highest level of education completed:
GED
High School Diploma
Some College
Associates Degree
Bachelor Degree
Masters Degree
Are there any skills, experience, or other qualifications which you feel would assist you in performing the duties of the position you have applied for?
List below your last two employers, starting with the most recent:
Employer's Name:
Supervisor's Name:
Reason for Departure:
Position(s) Held:
Duties:
Start Date:
End Date:
May we contact this employer? (If not, state reason):
Yes
No
Employer's Name:
Supervisor's Name:
Reason for Departure:
Position(s) Held:
Duties:
Start Date:
End Date:
May we contact this employer? (If not, state reason):
Yes
No
When is the best time to contact you?
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