Application for Employment - Corporate Cleaning
Corporate Cleaning, Inc.
13418 Green St Grand Haven, MI 49417
Office - 616-846-4756 / fax - 616-846-4769
Application for Employment
Personal Information:
Name: ___________________________________________Social Security No._________________________
Present Address: ____________________________________________________________________________
City_________________________________ State_______ Zip___________ Rent or Own? _______________
Phone Number: ________________________ Cell phone #____________________________ Text: yes / no
E-mail:___________________________________ Referred by: ____________________________________
Number of years at this address: _______________ (If less than 1 year)
Previous Address: _____________________________________________________________________________
City_________________________________ State_________ Zip____________ Rent or Own? ______________
Number of years at this address: __________________
What Position are you applying for? ____________________________________________________________
Date you can start_____________________________________ Salary Desired__________________________
Do you have any past or current health issues Dr. recommendations or restrictions that we should be aware of?_______________________________________________________________________________________
_________________________________________________________________________________________________
Do you have a Current / Valid Driver’s License? __________#________________________________________
Do you have reliable transportation? _____________________________________________________________
Will Babysitting be an issue? ______________________________________________________________________
Why would you like to work for Corporate Cleaning Inc.?___________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________ Do you plan to make this a long term employment? _______________________________________________
_________________________________________________________________________________________________
Do you have any experience in Cleaning? ________________________________________________________
__________________________________________________________________________________________________
How would you rate your personality? ____________________________________________________________
_________________________________________________________________________________________________
Do you get along well with other employees? _____________________________________________________
__________________________________________________________________________________________________
Tell us about your character_______________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________ Are you a smoker? ______________________________________________________________________________
Will you pass a Michigan State Police background check? ________________________________________ Have you ever been arrested? ___________________________________________________________________
If so where you convicted? ______________________________________________________________________
If so what for?___________________________________________________________________________________
Dates this took place ____________________________________________________________________________
Can you provide details? ________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________________________________
Education:
Are you a student now? _________________ If so Where? ____________________________________________
What are you studying? __________________________________________________________________________
When will you graduate? _________________________________________________________________________
Grammar School_________________________________________________________________________________
Dates attended___________________________________
High School_____________________________________________________________________________________
Dates Attended ___________________________________________Did you Graduate____________________
Subject’s studied________________________________________________________________________________
College_________________________________________________________________________________________
Dates Attended ___________________________________________Did you Graduate____________________
Subject’s studied________________________________________________________________________________
College_________________________________________________________________________________________
Dates Attended ___________________________________________Did you Graduate____________________
Subject’s studied_________________________________________________________________________________
Trade / Business /Correspondence School ________________________________________________________ _________________________________________________________________________________________________
_________________________________________________________________________________________________
Dates Attended ____________________________________________Did you Graduate___________________
Subject’s studied________________________________________________________________________________
US Military or Navel service_______________________________________________________________________
Rank_________________________________ Dates Served __________________________________
Special interests or Hobbies_______________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Any other information that might be helpful________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Employment History:
Are you employed now?____________________________ Dates?______________________________________
If So Where? Name: _____________________________________________________________________________
Address: ________________________________________________________________________________________
City_______________________________________________ State__________ Zip___________________________
Phone Number: _______________________________Supervisor________________________________________
May we inquire of your present employer? _______________________________________________________
Do you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Please list Former Employers:
(list below employers starting with last one first)
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City_____________________________________________ State__________ Zip____________________________
Phone Number: _______________________________Supervisor________________________________________
Dates employed by this company? ______________________________________________________________
Did you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City_____________________________________________ State__________ Zip____________________________
Phone Number: _______________________________Supervisor________________________________________
Dates employed by this company? ______________________________________________________________
Did you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City_____________________________________________ State__________ Zip____________________________
Phone Number: _______________________________Supervisor________________________________________
Dates employed by this company? ______________________________________________________________
Did you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City_____________________________________________ State__________ Zip____________________________
Phone Number: _______________________________Supervisor________________________________________
Dates employed by this company? ______________________________________________________________
Did you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Name: _________________________________________________________________________________________
Address: _______________________________________________________________________________________
City_____________________________________________ State__________ Zip____________________________
Phone Number: _______________________________Supervisor________________________________________
Dates employed by this company? ______________________________________________________________
Did you enjoy working for this company? _________________________________________________________ Reason for leaving employment? _________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
References:
Please give us two personal references.
People not related to you and to whom you have known at least 2 years.
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
City____________________________________________________ State__________ Zip______________________
Phone Numbers: __________________________ / ___________________________ Years known: ____________
What is your relation shipwith this person? ________________________________________________________
_________________________________________________________________________________________________
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
City____________________________________________________ State__________ Zip______________________
Phone Numbers: __________________________ / ___________________________ Years known: ____________
What is your relationship with this person? ________________________________________________________
_________________________________________________________________________________________________
Please give us two business references.
People you have worked for or with, are not related to you and to whom you
have known at least 1 year.
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
City____________________________________________________ State__________ Zip______________________
Phone Numbers: __________________________ / ___________________________ Years known: ____________
What is your relationship with this person? ________________________________________________________
_________________________________________________________________________________________________
Name: __________________________________________________________________________________________
Address: ________________________________________________________________________________________
City____________________________________________________ State__________ Zip______________________
Phone Numbers: __________________________ / ___________________________ Years known: ____________
What is your relationship with this person? ________________________________________________________
_________________________________________________________________________________________________
Emergency Contact: ____________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________
Authorization
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company for all liability for any damage that may result form utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by and authorized company representative.”
Date: _____________________ Signature: _______________________________________________
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