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? ________________________________________________________________

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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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