KSS Employment Application

Application for Employment
KSS

Cleaning Services
Position You Are Applying For
Date Available for Work

MonthDayYear
Date
Name

First NameLast Name
email address
City
State
Zip
Home Phone
Cell Phone
Social Security Number
Are you a US Citizen or legally allowed to work in the US?

YesNo
Training certifications or licenses held
PREVIOUS EMPLOYMENT
Where was your last place of employment?
Dates (start and end)
City
Zip
Position
Duties Performed
Supervisors Name and Title
Reason for leaving
Acknowledgement and Authorization

I certify that all answers given herein are true and complete to the best of my knowledge.
Signature of Applicant

Clear
Date

MonthDayYear
Date
References:
KSS CLEANING SERVICES
Our Difference Is In The Details."
Should be Empty:

KSS