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: _______________________________________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download