Employment Application - Home & Business Cleaning
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EMPLOYEE APPLICATION
BACKGROUND
Full Name: ____________________________________________
Address: ______________________________________________
______________________________________________
Phone Number: ___________________________
Social Security Number: ___________________
Birthdate: _________________
Are you legally entitled to work in the United States? [ ] Yes [ ] No
Are you 18 years old or older? [ ] Yes [ ] No
If not, please give your date of birth: ______________________
What position are you applying for? ______________________________________
If you are hired, when can you start work? _______________
EDUCATION
High School
Name of School: __________________________
Location: ______________________
Number of years attended: _____________
Did you graduate? [ ] Yes [ ] No Date of graduation:_______________
Trade School
Name of School: ______________________
Location: ______________________
Number of years attended: __________
Did you graduate? [ ] Yes [ ] No Date of graduation:_________________
College
Name of School: ______________________
Location: ________________________
Number of years attended: _____________
Did you graduate? [ ] Yes [ ] No Date of graduation:________________
What degree did you earn? __________________________
Graduate
Name of School: ________________________
Location: __________________
Number of years attended: _____________
Did you graduate? [ ] Yes [ ] No Date of graduation:________________
What degree did you earn? _________________________
EMPLOYMENT HISTORY
Beginning with your most recent employment and working back in time, please give the following information:
Employer 1
Employer: ___________________________
Address: ____________________________
____________________________
Telephone Number: _____________________
Job Title: ____________________________
Duties: _____________________________
Dates of Employment: ________________
Supervisor: _________________________
Reason for Leaving: __________________
Employer 2
Employer: __________________________
Address: ___________________________
___________________________
Telephone Number: ____________________
Job Title: _________________________
Duties: ____________________________
Dates of Employment: _________________
Supervisor: ___________________________
Reason for Leaving: ___________________
Employer 3
Employer: __________________________
Address: ___________________________
___________________________
Telephone Number: ____________________
Job Title: ____________________________
Duties: _____________________________
Dates of Employment: _________________
Supervisor: __________________________
Reason for Leaving: ____________________
Cleaning Experience
What professional cleaning experience have you had in the past? ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
PERSONAL REFERENCES
Please provide the names of two references who have not employed you and are not related to you.
Reference 1
Name: _____________________________
Address: ___________________________
___________________________
Telephone Number: ______________________
Relationship: __________________________
Reference 2
Name: ____________________________
Address: ____________________________
____________________________
Telephone Number: _______________________
Relationship: ___________________________
ADDITIONAL QUALIFICATIONS
Please tell us about any other training, education, skills, or achievements that you feel should be considered.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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My answers are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate dismissal.
Date: _______________
Applicant's Name: ____________________________________
Applicant's Signature: __________________________________
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