Employment application - Ramelli



Ramelli Janitorial ServicePlease Leave BlankOfficial Use Only5218954-77652200Employment Application Date: ___________________Applicant InformationFull Name::LastFirstMiddleMaidenAddress:Street AddressApartment/Unit #CityStateZIP CodePhone:EmailDate Available:Social Security No.:If under 18, please list age:Position Applied for:Desired Salary:$______________Days/Hours Available to Work(Please Circle)No Pref.Mon Tue Wed Thurs Fri Sat SunHow many hours can you work weekly? _______________Can you work nights? _______________Employment desired:Full-Time Only FORMCHECKBOX Part-Time Only FORMCHECKBOX Full Or Part - Time FORMCHECKBOX When are you available for work? _______________________Are you a citizen of the United States?YES FORMCHECKBOX NO FORMCHECKBOX If no, are you authorized to work in the U.S.?YES FORMCHECKBOX NO FORMCHECKBOX Have you ever worked for this company?YES FORMCHECKBOX NO FORMCHECKBOX If yes, when?Have you ever been convicted of a felony?YES FORMCHECKBOX NO FORMCHECKBOX If yes, explain?Do you have a driver’s license?YES FORMCHECKBOX NO FORMCHECKBOX What is your means of transportation to work? Applicants may be tested for illegal drugs and alcohol any time prior and during employment.License InformationDo you have a driver’s license?YES FORMCHECKBOX NO FORMCHECKBOX If yes, please specify:Operator FORMCHECKBOX Commercial (CDL) FORMCHECKBOX Chauffeur FORMCHECKBOX StateLicense No.TypeExpiration DateEducationHigh School:Address:From:To:Did you graduate?YES FORMCHECKBOX NO FORMCHECKBOX Diploma:College:Address:From:To:Did you graduate?YES FORMCHECKBOX NO FORMCHECKBOX Degree:Other:Address:From:To:Did you graduate?YES FORMCHECKBOX NO FORMCHECKBOX Degree:Military ServiceBranch:From:To:Rank at Discharge:Type of Discharge:Employment Record (Attach Sheet If More Space Is Needed)Last Employer:Company Name:Phone:Address:Supervisor:Job Title:Starting Salary:$Ending Salary:$Responsibilities:From:To:Reason for Leaving:Any gaps in employment and/or unemployment must be explained. Please include dates (Month/Year) and reason. Second Last Employer: Company Name:Phone:Address:Supervisor:Job Title:Starting Salary:$Ending Salary:$Responsibilities:From:To:Reason for Leaving:Any gaps in employment and/or unemployment must be explained. Please include dates (Month/Year) and reason. Third Last Employer:Company Name:Phone:Address:Supervisor:Job Title:Starting Salary:$Ending Salary:$Responsibilities:From:To:Reason for Leaving:Any gaps in employment and/or unemployment must be explained. Please include dates (Month/Year) and reason. May we contact your previous supervisors for a reference?YES FORMCHECKBOX NO FORMCHECKBOX Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.Signature:Date: ................
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