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  • Peachy Clean Maintenance & Facilities Employment Application

    PLEASE ANSWER ALL QUESTIONS FULLY AND ACCURATELY. Resumes are not accepted in lieu of completion of this application. Note: This application document was designed to use with several types of positions. Some questions may not be completely applicable to the position you are seeking; however, we ask that you complete all areas of information and if the question does not apply enter N/A
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  • Employment History

    Please provide all employment information for your last three employers, starting with the most recent

  • Job Skills & Training

  • References

     Please list two (2) references that are familiar with your work life.

  • Reference 1

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  • Reference 2

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  • Educational History

    List school name, location, years completed, course of study, and any degrees attained.

  • I hereby authorize the potential employer to contact, obtain, and verify the accuracy of the information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
    If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause at any time, so long as there is no violation of applicable federal or state law. I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified
    individual with a disability because of that person's need for a reasonable accommodation as required by the ADA. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within (3) three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
    I represent and warrant that I have read and fully understand the foregoing and that I seek employment under these conditions.

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  • Non-Disclosure & Non-Competing Agreement

  • This agreement is between Peachy Clean Maintenance & Facilities, LLC. (PCMF) &*  * . Non-disclosure terms: At all times during independent contractor’s/employee’s employment and after termination of independent contractor’s/employee’s employment   *   *    agrees to refrain from disclosing PCJS’s customer lists, trade secrets, bidding procedures, employment procedures, wages and other confidential material. In addition,    *   *   agrees to take reasonable security measures to prevent accidental disclosure of above stated information. Non-competition terms: At all times during independent contractor’s/employee’s employment and for 24 months/2 years after termination of this employment, no matter if the termination was voluntary or not,   *   *   agrees not to compete with Peachy Clean Maintenance & Facilities, LLC; within a 50 mile radius of Peachy Clean Maintenance & Facilities, LLC. location. Competition means owning a business that provides cleaning services to [residential/commercial buildings] and any of the following services: Commercial/residential cleaning, carpet cleaning, window washing, etc.   *   *   agrees to pay liquidated damages for any violation of the agreement and/or be subject to civil action for violation of any parts of this agreement.

  • Consent for Drug/Alcohol Testing

  • If you are offered and accept employment with Peachy Clean Maintenance & Facilities, LLC. you will be required to take a urine/blood test for drug and/or alcohol use. Peachy Clean Maintenance & Facilities, LLC. requires drug testing for all independent contractors/employees to ensure a safe working environment. I,   *   *   , have been fully informed of the reason for this urine test for drug and/or alcohol (I understand what I am being tested for), the procedure involved, and do hereby freely give my consent. In addition, I understand that the results of this test will be forwarded to my potential employer and become part of my record. If this test is positive, and for this reason I am not hired, I understand that I will be given the opportunity to explain the results of this test.

  • Direct Deposit Authorization Form

  • I hereby authorize Peachy Clean Maintenance & Facilities, LLC. to deposit my pay directly into the bank account
    listed below. I have attached a voided check, deposit slip, or direct deposit statement for the account so
    that bank transit and account numbers can be verified.
    I also authorize Peachy Clean Maintenance & Facilities, LLC. to correct any erroneous payment or overpayment
    to my account by withdrawing funds in the amount of the excess payment.
    This authorization remains in effect until Peachy Clean Maintenance & Facilities, LLC. has received written
    authorization from myself of any account termination or of any account changes.

  • Percentage or Amount per pay Period to Deposit for this Account is 100%

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