Cleaning Job Application Form

Cleaning Job Application Form

American Cleaning Services
Position you are applying for
E-mail
Application Date

MonthDayYear
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Day Time Phone

Area CodePhone Number
Referred By

First NameLast Name
Date You Are Available to start Work

MonthDayYear
Are You Legally Eligible to Work in the U.S.?
Are you willing to take a drug test?
Do you have a valid driver's license?
Do you have reliable transportation?
How Many Hours Do You Want to Work Per Week?
What Days Are You Most Interested in Working?
What Times of Day Are You Most Interested In Working?
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
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Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer? (please check one)
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer? (please check one)
If NO, reason why not
(3) Employer's Name
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer? (please check one)
If NO, reason why not
False information will cause removal from our registry.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if this company at anytime learns of falsification or material omission in the information provided on this application form and related documents. You may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Sacramento Green Clean® , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Sacramento Green Clean® policies, rules, and procedures. I understand that Sacramento Green Clean® reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me.
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