Employment Application

Employment Application

Fill in the requested personal, job, education, employment, history, authorization, and signature fields. All fields are optional unless clearly marked required.
Applicant Information
Full Legal Name

First NameLast Name
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Position and Work Availability
Position applying for
Cleaning type
Date available to start

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of work sought
Availability - AM hours
Availability - PM hours
Available to work weekends
Available to work additional hours when needed
Areas or cities where you can work
Job Requirements
Do you have a valid driver's license?
Do you have reliable transportation to and from work?
Can you perform the essential functions of the position, with or without reasonable accommodation?
Education History
Highest level of education completed

Other
Years completed
Graduated
Degree
Education city, state, or country
Previous Employment 1
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City and State
Position
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Supervisor Name
Supervisor's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Main Responsibilities
Reason for Leaving
May We Contact This Employer?
Previous Employment 2
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City and State
Position
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Supervisor Name
Supervisor's Phone
Please enter a valid phone number.Format: (000) 000-0000.
Main Responsibilities
Reason for Leaving
May We Contact This Employer
Military and Criminal History
Have you served in the military?
If yes, please explain
Have you ever been convicted of a felony?
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?
If yes, please explain the criminal offense
Authorizations and Signature
Truthfulness of Application

I certify that the facts stated in this employment application are true and complete to the best of my knowledge. I understand that misrepresentation or omission of material facts may result in termination of my employment.
Initials
Applicant initials
Authorization to Investigate

I authorize any persons or organizations referred to in this application to provide the Company with all information regarding my previous employment, education, or any other information they may have concerning any matter covered by this application, and I release all such parties from liability for any damages that may result from providing such information. I authorize the Company to request and receive such information.
Initials
Applicant initials
At-Will Relationship

I understand and agree that if I am offered employment with the Company, it will be “at will.” This means that either the Company or I may terminate the employment elationship at any time and for any reason, with or without cause. I further understand that the at-will nature of my employment with the Company is an aspect of employment that may not be modified or changed except by a written agreement signed by the Company’s Chief Executive Officer. I understand that nothing contained in this application or communicated during any interview that may be granted, or during my employment if I am hired, is intended to create an employment contract between the Company and me.
Initials
Applicant initials
Public Records Search

If internal personnel employed by the Company conduct a search of public records, including records of arrest, indictment, conviction, civil court action, tax lien, or outstanding judgment, I am entitled to copies of any public record obtained by the Company unless I check the box below. If I am not hired as a result of such information, I am entitled to a copy of those records even if I checked the box below.
Initials
Applicants Initials
JM Connect App

The employee is responsible for using the Company’s JM Connect application for any type of communication with the Company. You are also responsible for clocking in and out through the application.
Intitials
Applicants Initials
Employer

You are hired to work for Office Commercial Cleaning. For any question, problem, or concern, you are responsible for contacting the Office Commercial Cleaning office.
Initials
Applicants Initials
Clauses

You will be notified of any changes to Office Commercial Cleaning’s clauses, and it will be your responsibility to comply with those changes within the Company. You are subject to any change in the Company’s clauses.
Initials
Applicants Inititals
Applicant Name

First NameLast Name
Applicant Signature
Application Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Employment Application

Applicant Information

Position and Work Availability

Job Requirements

Education History

Previous Employment 1

Previous Employment 2

Military and Criminal History

Authorizations and Signature