Patriot Window Cleaning LLC Job Application

Patriot Window Cleaning LLC Job Application
Personal Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Social Security Number
Date Available

MonthDayYear
Date
Position Applied For
Employment Type
Employment Eligibility
Are you legally eligible to work in the US?
Have you ever worked for this employer?
Is yes, list the start and end dates:
Have you ever been convicted or had deferred adjudication of a crime that would prevent you from employment with Patriot Window Cleaning LLC?
If yes, explain:
Education
High School Name
High School City and State
High School Begin Date
High School End Date
Graduated?
Diploma or GED?
College Name
College City and State
College Begin Date
College End Date
College Graduate?
Degree Name
Other Degree/Certification
Other City and State
Other Begin Date
Other End Date
Other Degree/Certification type
Previous Employment
Employer #1
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting Pay Hourly
Ending Pay Hourly
Job Title
Responsibilities
Bigin Date
End Date
Reason For Leaving?
Employer #2
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting Pay Hourly
Ending Pay Hourly
Job Title
Responsibilities
Begin Date
End Date
Reason For Leaving?
Employer #3
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Starting Pay Hourly
Ending Pay Hourly
Job Title
Responsibilities
Begin Date
End Date
Reason For Leaving
References

Professional Only
Reference #1

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #3

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Military Service
Are you a veteran?
Branch?
Rank at Discharge
Begin Date
End Date
Type of Discharge
If not honorable, please explain:
Are you willing to consent to a background check?
DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
Signature
Date

MonthDayYear
Date
Print Name
Should be Empty:

Patriot Window Cleaning LLC Job Application

Personal Information

Employment Eligibility

Education

Previous Employment

References

Military Service