TRIUMPH CLEANING APPLICATION

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, disability, marital status, or any other legally protected status.
Position Applied For
Date of Application

Month Day Year
Date
Name

First Name Middle Name Last Name
Gender
Address
Address Line #2
City
State
Zip Code
Cell
Email Address
When Is The Best Time To Contact You?

8am-10am 10am-12pm 12pm-2pm 2pm-4pm 4pm-6pm
Can You Travel If The Job Requires It?
Yes/No
What Is Your Desired Salary Range?
Have you ever filed an application with us before?
Yes/No
Referral
Do any of your friends or relatives work here?
If Yes, State Their Name
Are you prevented from lawfully becoming employed in this country because of visa or immigration status (Proof of citizenship or immigration status will be required upon employment)
Yes/No
Employment Experience
Are You Currently Employed?
Yes/No
Previous / Or Current Employer
Work Performed
May We Contact Your Employer?

Yes No
Applicants Statement: I certify that answers given herein are true and complete I have given a comprehensive record of my work history for the last 5 years, and/or I have explained all breaks in employment history I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment beyond this time period shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time I hereby understand and acknowledge that, unless otherwise definedlaw,with this byapplicableemploymentrelationshiporganizationis any resignat any time and the employer may discharge employee at anytime with or without cause. It is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment I understand that false or misleading information given in my application or interviews(s) may result in discharge. I understand also, that I Am required to abide by all rules and regulations of the employer.
Date

Month Day Year
Date
Applicants Signature

Clear
Please List Your Professional Reference
Professional Reference Verification Form I authorize the release of the following information regarding my personal character:
Name
Relationship
Contact Number
Date

Month Day Year
Date
Applicant Signature

Clear
TRIUMPH STAFFING CRIMINAL BACKGROUND VERIFICATION
DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES

Triumph Staffing, LLC may request from a consumer reporting agency and for employment-related purposes, a Background Report containing background information about you in connection with your employment.

HireRight, LLC will prepare or assemble the background reports for Triumph Staffing,LLC

The Background Report(s) may contain information concerning your character, general reputation, personal characteristics, mode of living, or credit standing. The types of background information that may be obtained include: Criminal History Litigation History; Motor vehicle records, Social Security Number Verification, Address, Credit History, Verification of Education, Employment and Earning History, Professional Licensing, Credential and Certification Checks; Drug/Alcohol Testing Results and History;Military Service;and other information

I authorize TRIUMPH STAFFING AGENCY permission to perform a complete CRIMINAL BACKGROUND CHECK & DMV (DEPARTMENT OF MORTOR VEHICLE) ran on file in the HUMAN RESOURCE DEPARTMENT and all other reports described above about me as of this application's date.
Applicants Full Name
DATE

Month Day Year
Signature

Clear
How did you learn about us? (Advertisement, Website, Friend, etc.)
Should be Empty:

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Referral

Employment Experience

Please List Your Professional Reference

TRIUMPH STAFFING CRIMINAL BACKGROUND VERIFICATION