Cleaning Job Application Form

  • Please complete, then press "Submit"

  • Application Date*
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  • Date You Are Available to To start Work*
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  • Are You Legally Eligible to Work in the U.S.? *
  • Are you willing to take a drug test? *
  • Do you have a car, valid driver's license and car insurance?*
  • Approximately How Many Hours Do You Want to Work Per Week?*
  • Have you ever been convicted of a felony?*

  • WORK HISTORY / EXPERIENCE

    Please list your 2 most current work history/experience
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  • Start Date*
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  • End Date*
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  • May we contact this employer? (please check one)*
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  • Start Date
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  • End Date
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  • May we contact this employer? (please check one)

  • Please provide two references... preferably (work, education or church related).

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  • False information will cause removal from consideration.

    I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if this company at anytime learns of falsification or material omission in the information provided on this application form and related documents. You may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Clearly Clean LLC , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Clearly Clean LLC policies, rules, and procedures. I understand that Clearly Clean LLC reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me.
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