Employee Application

ONLINE EMPLOYEE APPLICATION

ogether

First:

Last:

Middle:

1. NAME:

2. POSITION for which you are applying:

3. ADDRESS:

Number

Street

City

State

Zip

4. HOME PHONE NUMBER: WORK PHONE NUMBER: MOBILE NUMBER:

5. SOCIAL SECURITY NUMBER:

6. DRIVERS LICENSE INFORMATION:

Number

State

Expiration Date

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Become a part of our TEAM.

7. E-MAIL ADDRESS:

8. HOW DID YOU HEAR ABOUT THIS POSITION?:

9. DATE YOU WOULD BE AVAILABLE TO START EMPLOYMENT:

10. AVAILABILITY:

Can you work evenings/nights?:

Availability to work

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

11. ARE YOU A U.S. CITIZEN?:

12. HAVE YOU EVER BEEN CONVICTED OF A FELONY?:

If yes, please explain:

13. EDUCATION/TRAINING/QUALIFICATIONS:

High School:City:State:

Did you graduate:

Year of Graduation:

College:City:State:

Please complete entire application prior to submitting.

From:

To:

Degree/Studies:

Did you graduate:

Other Training/Qualifications:

14. PREVIOUS EMPLOYMENT: (start with most recent employer)list up to three

Company:

Supervisor:

Job Title:

Address:City:State:Zip Code:

Phone:

Start Salary:End Salary:

Responsibilities:

From:To:

Reason for Leaving:

May we call this employer for a reference?:

Company:

Supervisor:

Job Title:

Address:City:State:Zip Code:

Phone:

Start Salary:End Salary:

Responsibilities:

From:To:

Reason for Leaving:

May we call this employer for a reference?:

Company:

Supervisor:

Job Title:

Address:City:State:Zip Code:

Phone:

Start Salary:End Salary:

Responsibilities:

From:To:

Reason for Leaving:

May we call this employer for a reference?:

15. PERSONAL REFERENCES:

Name:

Relationship:

Address:City:State:Zip Code:

Home:

Cell:

Name:

Relationship:

Address:City:State:Zip Code:

Home:

Cell:

PLEASE READ THE BELOW STATEMENTS CAREFULLY

Green Clean Cleaning Service, LLC Dba Green Clean Commercial , in considering my application for employment, may verify the information set forth on this application and obtain additional background information relating to my background. I authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies to supply any information concerning my background.

I have read, understand and agree to this statement.

Green Clean Cleaning Service, LLC Dba Green Clean Commercial is an Equal Opportunity Employer.

Furthermore, I understand that Green Clean Cleaning Service, LLC Dba Green Clean Commercial is committed to providing a drug-free workplace, and that Green Clean Cleaning Service, LLC Dba Green Clean Commercial, unless prohibited by law requires a drug screeining test as part of its selection and hiring process. I further understand and agree that if I am employed, I may be required to submit to alcohol/drug-testing under certain circumstances during my employment.

I certify that all the above information is accurate to the best of my knowledge. I understand false or misleading information may lead to disqualification and or dismissal from employment..