Employment Application

Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of our company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law.

It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.

All information will remain confidential. If your application is chosen, we will contact you for an interview in person. Please make sure all your contact information is correct and up to date.

Use the scroll bar on the right to navigate to the bottom of the form.

Your Contact Information
Name * First Last
Current Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Your Email *

We send you verification of receipt of your application.
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Work Phone - (###) - ### ####
About You
Please check all that apply I have cleaning experience from a previous job. I have no cleaning experience, but I'm willing to learn. I am presently unemployed. I am temporarily laid off. I am employed and looking for another job. I can work part time. I can work full time. I have a clean police record. I am legal for working in the United States. I have a drivers licence and a dependable car. I have a cell phone. I can start right away. I can start in two weeks. I t will be more than two weeks till I could start. I have never been convicted of or pled guilty to a felony or crime other than a minor traffic citation. I am a high school graduate. I have taken some college courses. I am a college graduate. I do paid cleaning work for others or for other companies and plan to continue to do so. I used to do cleaning work for others, but I do not do it now or I plan to stop if hired.
Please check all boxes that apply for you.
My last employer was *
My work at my last employer was

Please describe the work you did for your last employer including all your responsibilities.
My last employment date was / MM / DD YYYY
Leave blank if you are still employed
My reason for leaving was
My pay per hour at leaving was $ . Dollars Cents
Upload your resume

If you have a pre-printed resume, you may upload it here. We prefer text, word, .jpg or .pdf format.
Applicant's Certification Agreement

1. The company and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.

2. The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.

3. If hired, my employment is voluntary, meaning that either party can employment at any time for any reason. Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. The company reserves the right to change any working agreement as deemed necessary.

4. Any employment offer is contingent open my providing proof of identity and eligibility to work the country of employ.

5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.

6. I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
Please type your name here First Last
Date / MM / DD YYYY