Floor Cleaning, Carpet Cleaning, Floor Polishing, Professional Floor Cleaners Employment Application Form Floor Cleaning, Carpet Cleaning

Date of application

Position applied for:*

Name*

First Last

Email*

How did you learn about us

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long at this address?*

My telephone is*

Prior address

(If less than 3 years)

Mon:

Tues:

Weds:

Thurs:

Fri:

Are you available to work

If you are hired, when can you start work?

Driving is a requirement of the job. Can you travel if a job requires it?

Yes
No

Do you have a valid New Jersey Drivers License?

Yes
No

State

Do you have full time access to a vehicle?

Yes
No

Is your vehicle in good and safe mechanical condition?

Yes
No

Is the Vehicle covered by comprehensive liability insurance?

Yes
No

Make of Vehicle

Model

Year

Are you able, at time of employment, to submit verification of your legal right to work in the U. S.?**

Yes
No

*Verification and completion of the I-9 form must be submitted no later than 3 business days after hire.

Are you able to perform typical taskes associated with cleaning duties; (stand for extended periods of time, reach, push, pull, stretch, bend, stoop, kneel and lift up to 50 pounds?

Yes
No

Are you presently employed?

Yes
No

If yes, may we contact your current employer?

Yes
No

Have you ever filed an application with us before?

Yes
No

If yes, please give date

Have you ever been employed with us before?

Yes
No

If yes, please give date

Which of the following categories of jobs have you had?

If other please explain here;

Have you been convicted of a criminal offense?

Yes
No

Have you ever been bonded?

Yes
No

Has your driver's license ever been suspended?

Yes
No

WORK EXPERIENCE: List below your last three employers, starting with your present or last place of employment. You may include in such history any verified work performed on a volunteer basis.

Please include beginning and ending dates of employment, name and address of employer, supervisors name and telephone number, salary, position held and reason for leaving

Please include dates of attendance, name and location of school, highest grade completed and major area fo study; High School

Please include dates of attendance, name and location of school, highest grade completed and major area of study; College

Please include dates of attendance, name and location of school, highest grade completed and major area fo study; Other

Please include name, address, telephone number, occupation and years known

In signing this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize the company, to which I am applying, to conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I authorize any of the persons or organizations named in this application to provide complete information and records regarding my employment, education, character and qualifications. I release all parties from any liability in connection with the provision and use of such information. The opportunity to earn bonuses and awards*

Yes
No

I understand and agree that, if employed by this company, I will be responsible for familiarizing myself with the rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change.*

Yes
No

I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.*

Yes
No

I have read, understand and agree with the above. By clicking on the "SEND" buttom below I further understand and agree that I have electronically signed this application and validate it authenticity.*

Yes
No