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English (US)
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EMPLOYMENT APPLICATION
PERSONAL INFORMATION
Full Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
JOB DESCRIPTION AND PHYSICAL REQUIREMENTS
I'm Applying For:
*
Please Select
Cleaning Specialist
Floor Technician
Team Leader
Field Supervisor
Quality Control
Receptionist
Administrative Assistant
Administrative Coordinator
Bookkeeper
Operations Coordinator
Operations Manager
Sales
How Did You Hear About This Position?
*
I can lift, carry, push, pull:
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Please Select
Up to 20 lbs
20 to 50 lbs
50 to 100 lbs
I am able to:
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Please Select
Kneel, crawl, and squat periodically.
Stand, and walk for extended periods.
Reach above head and shoulders continuously.
Climb stairs and ladders.
Are You Able To Perform This Job's Duties With Or Without Reasonable Accommodations?
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Yes
No (Please Explain)
I am able to:
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Drive to multiple buildings to perform work if necessary.
If you are not able to drive to multiple buildings, please explain.
I have experience with the following: (Any options checked below may be tested prior employment)
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House Cleaning
Office Cleaning
Window Cleaning
Floor Strip & Wax
Carpet Cleaning
Supervising
Managing
Pages, Numbers
Other
AVAILABILITY
Where would you be available to work?
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Agawam
Springfield
Chicopee
Holyoke
Northampton
Florence
South Hadley
Amherst
South Deerfield
Greenfield
Athol
Gardner
Other
I am able to work:
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Please Select
Part-Time
Full-Time
Part-Time & Full-Time
Temporary
How many hours would you like to work per week?
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Which days are you available to work?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I am able to work the following shifts:
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8:30 AM to 5:30 PM
9:00 AM to 12:00 PM
11:00 AM to 2:00 PM
5:30 PM to 8:30 PM
5:30 PM to 2:30 AM
6:30 PM to 9:30 PM
Other
EDUCATION
Level of educations (Graduate):
*
Please Select
High school
GED
Two Years of College
Four Years of College
WORK HISTORY
How many employers have you had in the past three years?
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Company
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From
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To
*
Position
*
Supervisor
*
Why did you leave?
*
May we contact your previous supervisor for a reference?
*
Please Select
Yes
No
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From
To
Position
Supervisor
Why did you leave?
May we contact your previous supervisor for a reference?
Please Select
Yes
No
REFERENCES
Name
*
Relationship
*
Telephone Number
*
Name
*
Relationship
*
Telephone number
*
Name
*
Relationship
*
Telephone number
*
MILITARY SERVICE
Branch
From
To
Rank at Discharge
Type of Discharge
GETTING TO KNOW YOU
Applicant will not be considered if the following questions are not completed.
Do you know anyone who works here? Who?
*
What's the hardest job you've ever done?
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If you had one magic spell to fix something at your last job, what would you fix?
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What makes a long workday feel shorter for you?
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Tell us about a time you had to win someone over.
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If you could add one thing to every restroom you clean, what would it be?
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Describe a time you helped a co-worker with something they didn't understand.
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Tell us about a rule at work that you didn't agree with.
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If your last boss was asked to describe you, what do you think they'd say?
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Why do you think you'd fit in well here?
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What gets you out of bed to come to work?
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Would you rather have a job that keeps you busy all the time or one where you have some downtime?
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Are you okay working on weekends or holidays if needed?
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If you could have a one-hour conversation with any person, living or dead, who would it be and why?
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What is one question you wish we would have asked you in this application?
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Driver's License
*
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Please upload a clear and legible image of your driver's license.
Cancel
of
Resume
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Choose a file
Cancel
of
DRUG TESTING & APPLICANT STATEMENT
Anderson Cleaning, Inc. reserves the right to conduct tests for alcohol, drugs, or controlled substances under various lawful circumstances, including pre-employment screening, random testing, post-incident investigation, and when there's reasonable suspicion of impairment. All testing will be administered in compliance with Anderson Cleaning, Inc.'s written procedures, available upon request by calling (413) 306-5053. Anderson Cleaning, Inc. will cover the costs of these tests. By completing this application, you acknowledge and consent to these testing policies.
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PLEASE INITIAL
I certify that all answers and statements provided in this application are true and complete to the best of my knowledge. I understand that any falsification or omission may be grounds for immediate dismissal if employed. I hereby authorize Anderson Cleaning, Inc. to verify the information provided and investigate my employment history. I acknowledge that this application does not constitute a contract of employment, and if hired, my employment will be "At Will," meaning either I or Anderson Cleaning, Inc. may terminate the employment relationship at any time, with or without cause, and with or without notice, as outlined in the Anderson Cleaning Employee Handbook.
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PLEASE INITIAL
I understand that the part-time position demands a reliable and committed employee who will adhere to the agreed-upon work schedule. I am committed to being punctual and dependable, recognizing that excessive absences or failure to meet these obligations could result in the termination of my employment.
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PLEASE INITIAL
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