Please enable JavaScript in your browser to complete this form.Date *Name *FirstLastSocial Security # *Present Address (City, State, Zip) *Permanent Address (City, State, Zip)Phone # *EmailAre you 18 years or older? *Choose oneYesNoAre you either a U.S. Citizen or an Alien authorized to work in the United States? *Choose oneYesNoWhat foreign languages do you speak, read and write fluently?Describe previous janitorial/maintenance experiences. *Previous Company Name *Previous Type of Work *Position Applying for *Date you can start *Salary desired *Are you employed now? *Choose oneYesNoIf so, may we inquire with your former employer? *Choose oneYesNoEver applied to this company before? *Choose oneYesNoIf yes, when and where?Last employerFrom - to: (month and year)Name and address of employerPositionReason for leaving2nd to last employerFrom - to: (month and year)Name and address of employerPositionReason for leaving3rd to last employerFrom - to: (month and year)Name and address of employerPositionReason for leavingReference: Give the names of three people NOT related to you to whom you have known at least one year. (NAME, YEARS KNOWN, ADDRESS, PHONE) *Do you have any physical limitations that preclude you from performing any work for which you are being considered? *Choose oneYesNoIf yes, please describe.In case of emergency - notify (Name, Address, Phone) *I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand that I may be required to successfully pass a background check and I hereby consent, if required, to a pre and/or post employment background check. YesI UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. I ALSO UNDERSTAND THAT NO OFFER OR PROMISE OF EMPLOYMENT HAS BEEN MADE TO ME. I UNDERSTAND THAT IF I AM HIRED, I WILL HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE. *YesCONTINUE TO SIGNING