Cleaning Technician Job Application
Please complete the form below to apply for a position with us.
Equal Opportunity Employer
Please read before completing this application: This company does not discriminate in the recruitment, hiring and conditions of employment on the basis of race, color, religion, national origin, sex, marital status, disability, age or veteran status. No question on this application is intended to secure information to be used in a discriminatory manner. Your completed application will be reviewed carefully; but its receipt does not imply that you will be employed. Employment consideration necessitates that you meet all minimum qualifications required of the position for which you are applying.
Full Name
First Name
Middle Name
Last Name
Current Address
Street Address
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Email Address
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Phone Number
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Are you 18 or older?
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Are you authorized to work in the United States?
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If you are hired, you will be required to furnish proof of your employment eligibility.
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How did you hear about this job opening
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Salary Requirement
Have you ever pleaded guilty to or been convicted of a criminal offense?
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If you are hired, you will be required to furnish proof of your employment eligibility.
Have you ever been involuntarily discharged from a position?
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Yes
No
If you are hired, you will be required to furnish proof of your employment eligibility.
If yes, tell us about the circumstances.
This is a highly active job that requires manual labor. Do you have any pre-existing medical conditions that would prevent you from performing your job duties?
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If you are hired, you will be required to furnish proof of your employment eligibility.
Special Skills
List applicable skills and / or experience with equipment relative to your ability to perform the functions of the position for which you are applying. Include years of experience.
How did you find out about this job opening?
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Two Personal References
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Years Known
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Years Known
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Employment History
If your application is accompanied by a resume that already discloses this information, feel free to leave this section blank. Otherwise, please list all positions held with the most recent first. Include self-employment and volunteer work.
Name of Employer
Employment Start
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Month
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Day
Year
Date
Employment End
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Month
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Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Supervisor
First Name
Last Name
Position Held
Starting Hourly Wage
Ending Hourly Wage
Description of Duties
Why did you leave?
May contact this employer while considering your application?
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Second Position
Name of Employer
Employment Start
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Month
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Day
Year
Date
Employment End
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Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Supervisor
First Name
Last Name
Position Held
Starting Hourly Wage
Ending Hourly Wage
Description of Duties
Why did you leave?
May contact this employer while considering your application?
Yes
No
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Third Position
Name of Employer
Employment Start
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Month
-
Day
Year
Date
Employment End
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor
First Name
Last Name
Position Held
Starting Hourly wage
Ending Hourly Wage
Description of Duties
Why did you leave?
May contact this employer while considering your application?
Yes
No
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