Employment Application

Employee Application
Company Applying For:
PERSONAL INFORMATION
Full Name*

First NameMiddle NameLast Name
Referred By:*
If no one referred you, enter N/A
Birth Date*

MonthDayYear
Social Security Number*
We will need this for your background check.
Drivers License Number*
State*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shirt Size*
Have you ever been convicted of a Felony (Convictions do not automatically disqualify you for employment.)*

-----YesNo
If yes, please explain:
Email Address*
example@example.com
Phone Number*
Position Applied
How did you hear about us
Available Start Date

MonthDayYear
Date
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.

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*

Powered by Jotform SignClear
Date*

MonthDayYear
Date

PHOTO MUST BE AS FOLLOWS:

Passport style original color photo – can be taken with cell phone
No Filters/Photoshopped photos
Straight forward shot, head & shoulders only
SOLID White background
NO headwear of any Kind: NO sunglasses, headbands, scarves, hats, etc. (scarves can only be used if for religious purposes)
Photos must be sent as JPEG Attachments
If sending multiple photos, be sure to name each photo attachment with techs first and last name.

Example of acceptable photo:

Confidentiality Agreement
Confidential Information Protection is a top priority. As an employee, you may work at client sites after hours and could unintentionally encounter confidential or proprietary information, such as work in progress or patient data. However, this information is not necessary for you to perform your duties, and sharing it is strictly prohibited.

Disclosing such information could lead to immediate termination and potential legal consequences under local, state, or federal laws.

Please read and sign the following agreement:

I understand that I, or my assistants, may encounter confidential information while performing cleaning services.
I agree not to disclose or use confidential information, including but not limited to:

Customer Lists
Work in Progress
Medical Diagnoses/Patient Information
Accounts Receivable/Payable
Building Access Codes
I understand that violating this agreement may result in termination and legal action.
Name*

First NameLast Name
Date*

MonthDayYear
Date
By entering my my name above, I agree to the terms and conditions of the confidentiality agreement.

Drug & Alcohol Agreement
Our company strictly prohibits the use, possession, or sale of drugs or alcohol on company property or during business activities. All Franchisees and staff must comply with this policy.

We are committed to maintaining a safe and healthy workplace, where drug or alcohol use is not tolerated. To provide top-tier service and maximize profitability, every team member must work with a clear mind. Impairment from drugs or alcohol compromises safety and performance.

Leads are responsible for ensuring their team’s compliance, and all staff members are accountable for their own adherence to this policy.
Name*

First NameLast Name
Date*

MonthDayYear
Date
By entering my my name above, I agree to the terms and conditions of the confidentiality agreement.

Disclosure About A Background Check
We may obtain a "consumer report" about you from a reporting agency for employment purposes. This report may include details on your criminal, credit, driving, education, and employment history, as well as professional licenses and personal identifiers. It may relate to your character, reputation, and lifestyle. "Employment purposes" includes evaluating you for employment, promotion, reassignment, or retention, and may apply to employees, contractors, agents, or volunteers.
If an employee voluntarily resigns or is terminated for cause within the first 60 days of employment, they will be responsible for reimbursing the company for the costs incurred for their initial onboarding, including but not limited to the expenses of employee badging and background checks. The total amount will be deducted from their final paycheck. By accepting employment, the employee acknowledges and agrees to this policy.
By my selection below, I acknowledge that I have read and understand the Early Termination Reimbursement Clause. *
Signature*

Powered by Jotform SignClear
Date*

MonthDayYear
Date
By signing above, I confirm that your name on each document indeed is yours consent and agreement to each agreement.
Should be Empty:

Confidentiality Agreement