Xpedient Client Solutions Job Application Form

JOIN OUR TEAM!
Application Date*

MonthDayYear
Full Name*

First NameLast Name
Day Time Phone*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your desired position? (Select all that apply)

Commercial CleanerAppointment Setter
Do you understand spoken English?*

YesNo
Are you legally eligible to work in the U.S.?*

YesNo
Do you have a valid driver's license?*

YesNo
Do you have reliable transportation to/from work?*

YesNo
What is your experience in commercial cleaning? (We will train the right candidates)
Some clients require background checks and/or drug testing. Can you pass a criminal background check and drug test?*

YesNo
What is your minimum hourly rate expectation?*
Date You Are Available to To Start Work*

MonthDayYear
How many hours are you available to work each week?*

10-2020-3030-4040+
What days are you available to work?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What days are you available to work?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What hours are you available to work?
What hours are you available to begin working? (Select all that apply)

Morning (6 a.m. - 11 a.m. start time)Afternoon (12 p.m. - 5EveningNight
What times of day are you most interested in working?*

MorningsAfternoonsEvenings
WORK HISTORY / EXPERIENCE

Please list your most current work history/experience
Please describe your experience and what makes you a true qualified professional for each position you're seeking
Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?*

YesNo
Work Reference (1) Name*

First NameLast Name
Reference (1) Telephone*
How do they know you?
Work Reference (2) Name*

First NameLast Name
Reference (2) Telephone*
How do they know you?
Reference (3) Name

First NameLast Name
Reference (3) Telephone
How do they know you?
False information will cause removal from our application database.

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 the company, 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 company policies, rules, and procedures. I understand that the company 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.
Do you understand and agree that employment with Xpedient Client Solutions is "at-will" and does not guarantee any specific length of employment?*

YesNo
Though some positions may become W-2 in the future, do you understand and agree to working as a 1099 contractor with Xpedient Client Solutions?*

YesNo
Do you understand and agree that any misrepresentation, omission, or falsification of this application will be grounds for immediate termination?*

YesNo
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