EMPLOYMENT APPLICATION

Date *

Name *

First

Last

Social Security # *

Present Address (City, State, Zip) *

Permanent Address (City, State, Zip)

Phone # *

Are you 18 years or older? *

Are you either a U.S. Citizen or an Alien authorized to work in the United States? *

What 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? *

If so, may we inquire with your former employer? *

Ever applied to this company before? *

If yes, when and where?

Last employer

From - to: (month and year)

Name and address of employer

Position

Reason for leaving

2nd to last employer

From - to: (month and year)

Name and address of employer

Position

Reason for leaving

3rd to last employer

From - to: (month and year)

Name and address of employer

Position

Reason for leaving

Reference: 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? *

If 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.

I 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. *