Employment Application
Name
*
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
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2016
2015
2014
2013
2012
2011
2010
2009
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Phone Number
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Desired position(s)
*
Full-time
On-call
Part-time
Floater
Sub-contractor
Internship
How were you referred to us?
Jobfair
Employee Referral
Newspaper Ad
Facebook
Twitter
LinkedIn
Google
Craigslist
Other
Please list the name of the person who referred
First Name
Last Name
.
How many hours would you like to work per week?
*
0-10
11-20
21-30
31-40
What day(s) are you available to work?
*
Anyday
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
What is your preferred time(s) to work?
*
Anytime
Mornings
Afternoons
Evenings
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Next
Qualifications
Do you have a valid driver's license and reliable transportation?
*
Yes
No
Do we have valid and current auto insurance?
*
Yes
No
Are you willing to have a background check completed?
*
Yes
No
Are you comfortable with using email and electronic checklists?
*
Yes
No
Willing to learn
Do you have experience in the cleaning industry?
*
Yes
No
Willing to learn
Back
Next
Resume & References
Resume
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Do we have your consent and permission to contact your references?
*
Yes
No
Please, list any special trainings and/or certifications you have obtained?
Your preferred time to schedule an interview
*
Mornings
Afternoons
Evenings
Select a date that you would be able to start working, if selected for a position?
*
-
Month
-
Day
Year
Date
Sign here to confirm your application information is accurate and answered to the best of your ability and knowledge.
*
Submit Application
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