Employment Application Form

Name:*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

Are you atleast 21 years old

YesNo

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applying for Position (Select all that apply)

Part Time Clean TechPart Time Clean LeadOther

Are you available to begin work immediately?

YesNoOther

Days Available to Work (Select all that apply)

How many hours per week are you looking for?

5-10 hours10-20 hours20-30 hoursOther

Basic Requirements for filling all our positions:

To perform a variety of cleaning activities such as vacuuming, mopping, dusting and polishing, standing, bending, kneeling , working on step ladders, holding Extension poles over your head for long periods of time and Lifting up to 25lbs. Restock your cleaning Carts, Adhere to safety practices, be customer oriented and friendly, speak english, provide verification of your legal right to work in the U.S., reliable transportation, proof of insurance and a valid driver's license.

You will be working around Chemicals, people, pets, in heat and cold. Punctuality and attendance are essential. You will need to have the Ability to work with little supervision while using time management skills and maintain a professional cleaning pace without compromising quality. Have a Smartphone with texting/photo/call capabilities, Willingness to install and use necessary apps required by the company, Ability to Pass a background check and drug screening.

Are you able to fulfill the job requirement listed above?

YesNoOther

Please answer Yes or No below

	YES	NO
Have you been convicted of a crime (other than a traffic violation)?

If yes you have been convicted of a crime, please explain:

How did you hear about this job?

Do you know anyone who works for Innovative Cleaning Solutions Services? If so, Who?

What qualities do you think are required to be a successful cleaner?

Why would you like to work for our cleaning service?

Describe your skills in relation to the position your applying for:

Educational Background

High School:

Graduated?

YesNO

G.E.D?

YesNo

Previous Employment:

(Last two employers - Starting with most recent)

Previous Employment 1

Company Name:

Phone Number

Area CodePhone Number

Start Date

End Date:

Reason For Leaving*

Supervisor's Name:

May we contact?

YesNo

Previous Employment 2

Company Name:

Phone Number

Area CodePhone Number

Start Date

End Date:

Reason For Leaving

Supervisor's Name:

May we contact?

YesNo

References

Please provide two references (school, work, church, etc.) who are not related to you:

Reference 1

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Years Known:

Relationship

Reference 2

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Years Known:

Relationship

Please use this space to summarize any additional information that you would like us to know:

I UNDERSTAND THAT ALL OF THE ABOVE INFORMATION IS TRUE AND THAT FALSIFICATION OF ANY INFORMATION ON THIS APPLICATION IS GROUNDS FOR TERMINATION. I UNDERSTAND THAT NEITHER THE COMPLETION OF THIS APPLICATION NOR ANY OTHER PART OF MY CONSIDERATION FOR EMPLOYMENT ESTABLISHES ANY OBLIGATION FOR INNOVATIVE CLEANING SOLUTIONS, LLC TO HIRE ME.

IF I AM HIRED, I UNDERSTAND THAT EITHER INNOVATIVE CLEANING SOLUTIONS, LLC OR I CAN TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE. I UNDERSTAND THAT NO REPRESENTATIVE OF INNOVATIVE CLEANING SOLUTIONS, LLC HAS THE AUTHORITY TO MAKE ANY ASSURANCE TO THE CONTRARY.

I AUTHORIZE INNOVATIVE CLEANING SOLUTIONS, LLC TO CONTACT REFERENCES PROVIDED FOR EMPLOYMENT REFERENCE CHECKS. IF ANY INFORMATION I HAVE PROVIDED IS UNTRUE OR IF I HAVE CONCEALED MATERIAL INFORMATION, I UNDERSTAND THAT THIS WILL CONSTITUTE CAUSE FOR THE DENIAL OF EMPLOYMENT OR IMMEDIATE DISMISSAL.

INNOVATIVE CLEANING SOLUTIONS IS AN EQUAL OPPORTUNITY EMPLOYER. INNOVATIVE CLEANING SOLUTIONS DOES NOT DISCRIMINATE ON THE BASIS OF RACE, SEX, (INCLUDING PREGNANCY, CHILDBIRTH ANS RELATED MEDICAL CONDITIONS), RELIGION, COLOR, AGE, NATIONAL ORIGIN, DISABILITY, CITIZENSHIP STATUS, OR ANY OTHER CHARACTERISTIC PROTECTED BY LAW.

Date*

Date

E-Signature*