OCSA Cleaning_Application Form

OCSA Application Form

It is the policy of O.C.S.A to provide equal employment 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.
Personal Information and Availability
Email address
example@example.com
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Daytime/Evening Phone
Please enter a valid phone number.Format: (000) 000-0000.
Driver's License (State/Number)
Are you 18 years or older?
Emergency Contact (Name/Number)
Are you willing to work any shift, including night and weekends?
Are you willing to work overtime?
If you are offered employment, when would you be available to begin work?
If hired, are you able to submit proof that you are legally eligible for employment in the United States?
Who referred you to OCSA Inc
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?
What reasonable accommodation, if any, would you request? (leave blank or type N/A)
APPLICANT SKILLS
List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and level of expertise.
Skills (Include years of experience)
Skills (Include years of experience)
Skills (Include years of experience)
Certification or Degrees (List any relevant certifications and/or degrees e.g. first aid, OSHA, forklift, administrative, etc)
EMPLOYMENT HISTORY
List your current or most recent employment first. Please list all jobs (including self employment and military service) which you have held
Employer Name
Supervisor Name and Number
Address
City/State/Zip
Job Duties
Reason for leaving (write 'still employed' if current job)
Dates of employment (Month/Year)
List additional employment or military history (include month/year, branch, specialized training)
EDUCATION AND TRAINING
Include most recent and relevant
College/University Name and Address
Did you receive a degree
High School/GED Name and Address
Other Training (graduate, technical, vocational)
Awards, Honors, Special Achievements
REFERENCES
List any two non-relatives who would be willing to provide a reference for you
Reference 1: Name and Relationship
Reference 1: Email
example@example.com
Reference 1: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2: Name and Relationship
Reference 2: Email
example@example.com
Reference 2: Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

OCSA Application Form

Personal Information and Availability

APPLICANT SKILLS

EMPLOYMENT HISTORY

EDUCATION AND TRAINING

REFERENCES