Employment

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EMPLOYMENT APPLICATION

CURRENT ADDRESS

PRIOR ADDRESS

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This application is intended for use in evaluating your employment. This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview or on this form are grounds for terminating this application or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discriminating because of sex, marital status, race, creed, national origin or the presence of disabilities.

A felony conviction will not necessarily bar an applicant from employment.

FULLTIME
PARTTIME
TEMPORARY
WEEKDAYS
WEEKENDS
EVENINGS
OVERTIME
LATE NIGHTS

OTHER

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EDUCATION

NAME

CITY/STATE

DATES

DEGREE

HIGHSCHOOL

COLLEGE

OTHER

SECURITY

CIRCLE ONE:

MARRIED
SINGLE
DIVORCED

YES

NO

HAVE YOU BEEN CONVICTED OF / OR UNDER INVESTIGATION FOR ANY FELONY OR MISDEMEANOR EXCLUDING TRAFFIC OFFENSES. (GIVE DETAIL)

PHYSICAL

DO YOU HAVE ANY PHYSICAL PROBLEMS THAT WOULD INTERFERE WITH OR BE MADE WORSE BY PERFORMING DUTIES IN A COMMERCIAL CLEANING COMPANY?

YES

NO

DETAILS

EMPLOYER HISTORY

MOST RECENT EMPLOYER

COMPANY NAME

CITY

STATE

PHONE

DATES EMPLOYED (FROM-TO)

JOB TITLE

SUPERVISOR

STATE YOUR JOB DUTIES

SALARY

REASON FOR LIVING

SECOND MOST RECENT EMPLOYER

COMPANY NAME

CITY

STATE

PHONE

DATE EMPLOYED (FROM-TO)

JOB TITLE

SUPERVISOR

STATE YOUR JOB DUTIES

SALARY

REASON FOR LIVING

THIRD MOST RECENT EMPLOYER

COMPANY NAME

CITY

STATE

PHONE

DATES EMPLOYED (FROM-TO)

JOB TITLE

SUPERVISOR

STATE YOUR JOB DUTIES

SALARY

REASON FOR LIVING

REFERENCES

INCLUDE ONLY INDIVIDUALS FAMILIAR WITH YOUR WORK ABILITY.DO NOT INCLUDE RELATIVES.

NAME

ADDRESS/PHONE

YEARS KNOWN

1.

2.

3.

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief.  I  understand that any false information, omissions or misrepresentations of facts called for In this application may result In rejection of my application or discharge at any time during my employment.(authorize the company and or its agents, including consumer reporting bureaus, to verify any of this information. l authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damages whatsoever for issuing this information. I also understand that the use of illegal drugs during employment is prohibited. If required, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

SIGNATURE

DATE

EMPLOYMENT APPLICATION

CURRENT ADDRESS

———————————————————————————————————————————————————————————————————————————

This application is intended for use in evaluating your employment. This is not an employment contract. Please answer all questions completely and accurately. False or misleading statements during the interview or on this form are grounds for terminating this application or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discriminating because of sex, marital status, race, creed, national origin or the presence of disabilities.

A felony conviction will not necessarily bar an applicant from employment.

FULLTIME
PARTTIME
TEMPORARY
WEEKDAYS
WEEKENDS
EVENINGS
OVERTIME
LATE NIGHTS

OTHER

———————————————————————————————————————————————————————————————————————————

EDUCATION

NAME

CITY/STATE

DATES

DEGREE

HIGHSCHOOL

COLLEGE

OTHER

SECURITY

CIRCLE ONE:

MARRIED
SINGLE
DIVORCED

YES

NO

HAVE YOU BEEN CONVICTED OF / OR UNDER INVESTIGATION FOR ANY FELONY OR MISDEMEANOR EXCLUDING TRAFFIC OFFENSES. (GIVE DETAIL)

PHYSICAL

DO YOU HAVE ANY PHYSICAL PROBLEMS THAT WOULD INTERFERE WITH OR BE MADE WORSE BY PERFORMING DUTIES IN A COMMERCIAL CLEANING COMPANY?

YES

NO

EMPLOYER HISTORY

MOST RECENT EMPLOYER

SECOND MOST RECENT EMPLOYER

THIRD MOST RECENT EMPLOYER

REFERENCES

INCLUDE ONLY INDIVIDUALS FAMILIAR WITH YOUR WORK ABILITY.DO NOT INCLUDE RELATIVES.

I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief.  I  understand that any false information, omissions or misrepresentations of facts called for In this application may result In rejection of my application or discharge at any time during my employment.(authorize the company and or its agents, including consumer reporting bureaus, to verify any of this information. l authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damages whatsoever for issuing this information. I also understand that the use of illegal drugs during employment is prohibited. If required, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.

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