Beacon Cleaning Employment Form (English)

Employment Application Form:

It is the policy of Beacon Cleaning, Inc. to provide equal opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.
Equal Employment Opportunity Statement:

Beacon Cleaning and all entities under the Beacon Cleaning umbrella is committed to a policy of equal employment opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other legally recognized protected basis under federal, state, or local laws, regulations, or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity, and maintain employment statistics on applicants.

Beacon Cleaning and all entities under the Beacon Cleaning umbrella are committed to providing reasonable accommodations to qualified individuals with disabilities in the employment application process. If you need assistance or an accommodation due to a disability, please contact our Office Manager.
Applicant Information:
Today's Date*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Years at this Residence*
Previous Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years at this Residence*
Phone Number*

Area CodePhone Number
Is this your mobile phone number?*

YesNo
May we contact you at this number by calling and/or texting?*

YesNo
E-mail
May we Email you?

YesNo
Last 4 Digits of your Social Security Number*
Valid New York State Driver's License Number
Expiration Date

MonthDayYear
Date
Identification Card Number (Non-driver ID or Out of State License)
Expiration Date

MonthDayYear
Date
Do you have reliable transportation that will allow you to commute to and from different job sites throughout the day?*

YesNo
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*

YesNo
Role you are applying for?*

Cleaning PositionTeam LeadSupervisor
Full or Part Time?*

Full TimePart TimeBoth
How many hours a week can you work?
What date can you start work?

MonthDayYear
Date
Are you at least 18 years old?*

YesNo
Days and Hours you are available to work each week.

Please fill each field, below. If you are not available for work on any given day of the week, please insert a zero.
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
Saturday*
Sunday*
Please list any scheduled travel or time off you may already have planned that may impact your work schedule in the next 60 days.
Weekend and Holiday Scheduling

Please note, there are accounts serviced by Beacon Cleaning requiring weekend and holiday cleaning. Staff are occassionally required to work at these accounts to maintain customer needs. Whenever possible, these schduling requirements will be provided to employees of DOC's well in-advance.
Check here to confirm you have read and understood the statement above.

I have read and understand the statement above, regarding weekend and holiday scheduling for Beacon Cleaning customer servicing.
Education:
High School
Name of High School Attended
State
Number of Years Attended
Graduated?

Yes
Major / Degree Completed
Business / Trade
Name of College/University Attended
State
Number of Years Attended
Graduated?

Yes
Major / Degree Completed
College
Name of College/University Attended
State
Number of Years Attended
Graduated?

Yes
Major / Degree Completed
Do you have military experience?

YesNo
If YES, Date Entered / Discharged

MonthDayYear
Date
Do you have National Guard experience?

YesNo
If YES, Date Entered / Discharged

MonthDayYear
Date
Skills/Qualifications:
Skills
List any relevant skills
Qualifications
List any relevant certifications or qualifications
Employment History:

Please list your work experience for the past 7-10 years, beginning with your most recent job.
Employer (Company) Name
Name of Current Employer or NONE if not Employed
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Job Title
Most Recent Supervisor's Name
Start Date

MonthDayYear
End Date

MonthDayYear
Salary
Reason for Leaving?
May We Contact?

YesNo
Previous Employment:
Previous (Company) Employer
Name of Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job Title
Most Recent Supervisor's Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary
Reason for Leaving?
May We Contact?

YesNo
Previous Employer (Company) Name
Name of Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job title
Most Recent Supervisor's Name
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Salary
Reason for Leaving?
May We Contact?

YesNo
Previous Employer (Company) Name
Name of Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Job title
Most Recent Supervisor's Name
Start Date

MonthDayYear
End Date

MonthDayYear
Salary
Reason for Leaving?
May We Contact?

YesNo
References:
Reference 1*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone
Email
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone
Email
Cover Letter & Resume (Optional):
Cover Letter

Upload a File

Cancelof
Resume

Upload a File

Cancelof
A drug test and background check is be required for all employees.

I understand that, if hired, my employment would be "at-will" and could be terminated at any time by either party, with or without cause and with or without notice. I certify that the statements I have made are true and correct to the best of my knowledge. I understand that submission of any false information or the omission of any requested information in connection with my application for employment, whether on this document or not, may be cause for failure to hire or for immediate discharge should I be employed by Beacon Cleaning.
Check here to confirm you have read and understood the statement above.*

I have read and understand the statement above, regarding drug test and background checks performed by Beacon Cleaning.
Send Application:
By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Please Print Your Name*
Should be Empty:

Employment Application Form:

Applicant Information:

Days and Hours you are available to work each week.

Education:

Skills/Qualifications:

Employment History:

Previous Employment:

References:

Cover Letter & Resume (Optional):

Send Application: