THOROCLEAN APPLICATION FOR EMPLOYMENT
Pre-Employment Questionnaire Equal Opportunity Employer
Application Date
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Month
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Day
Year
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Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
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Kosovo
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Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
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United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Day Time Phone
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E-mail
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example@example.com
Referred By
First Name
Last Name
Date You Can Start Work
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Month
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Day
Year
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Desired Hourly Pay
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Are you eligible to work in the U.S.A?
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Yes
No
Are you able to pass a background check?
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Yes
No
Do you have a valid driver's license?
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YES
NO
Do you have reliable transportation?
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Yes
No
Someone will have to drop me off
How Many Hours Can You Work Per Week?
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0-10
10-20
20-30
30-40
40+
What days are you most interested in working?
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Weekdays
Weekends
What time of day are you most interested in working?
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Mornings
Afternoons
Evenings
Nights
Open Availability
Have you ever taken something that did not belong to you?
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Yes
No
EDUCATION HISTORY
Highest Level Completed
High School Diploma
Some College
College Degree
GED
Did not complete high school
WORK HISTORY / EXPERIENCE
Please List Below Your Last Three Employers, Starting With The Last One First
Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner.
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IF YOU HAVE NEVER WORKED FOR A CLEANING COMPANY BEFORE PUT N/A.
Employer's Name (Most current)
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Position Held
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Hourly Wage
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Supervisor's Name
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Telephone
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Reason for Leaving
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Duties
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Start Date
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Month
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Day
Year
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End Date
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Month
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Day
Year
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May we contact this employer? (please check one)
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YES
NO
If NO, reason why
(2) Employer's Name
Position Held
Hourly Wage
Supervisor's Name
Telephone
Duties
Reason for Leaving
Start Date
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Month
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Day
Year
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End Date
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Month
-
Day
Year
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May we contact this employer? (please check one)
YES
NO
If NO, reason why
(3) Employer's Name
Position Held
Hourly Wage
Supervisor's Name
Telephone
Reason for Leaving
Duties
Start Date
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Month
-
Day
Year
Date Picker Icon
End Date
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Month
-
Day
Year
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May we contact this employer? (please check one)
YES
NO
If NO, reason why
YOUR CLEANING PROCESS
This kitchen has not been cleaned in two weeks. Please descibe in bullet points how you would clean this room and the products you would use.
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How would you dust a shelf with many knickknacks on it?
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Dust the shelf and clean around the knickknacks.
Remove the knickknacks, dust the shelf and line the knickknacks up.
Remove the knickknacks, dust them and place them back as they were.
What is the procedure in general for cleaning any room in a house?
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Work your way in a circle cleaning everything, top to bottom, as you go.
Clean up to down working your way around to not to miss anything.
Clean the more difficult areas first and the easier areas last.
What would you do if there was a $20 bill laying on a table with no note?
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Take the money as a tip.
Ask the client if it is meant for you.
Leave it where it is. You don't know if it was meant for you.
How do you dust a picture on the wall that has no glass?
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Don't dust it. You don't want to damage it
Dust only the frame.
Dust the entire picture.
REFERENCES
GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.
Reference (1) Name
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Reference (1) Telephone
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Reference (2) Name
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Reference (2) Telephone
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Reference (3) Name
Reference (3) Telephone
Authorization: Falsified Statements On This Application Shall Be Grounds For Dismissal.
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws." I agree that I will follow all ThoroClean Residential and Commercial Cleaning Company® policies, rules, and procedures. I understand that ThoroClean Residential and Commercial Cleaning Company® reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime.
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