EMPLOYMENT / JOB APPLICATION

PERSONAL INFORMATION

FULL NAME: ___________________________________ DATE: __________________

First Middle Last

ADDRESS: _____________________________________________________________
Street Address Apt/Suite

_____________________________________________________________
City State Zip Code

E-MAIL: __________________________________ PHONE: _____________________

HOW DID YOU HEAR ABOUT US?: Google Facebook From a Friend Referral

What position(s) are you applying for?*

Commercial
CleanerWindow
CleanerFloor
Janitor
Custodian
After Party Cleaner

If hired, when will you be able to begin work? - select one

Right Away
Next Day
Next Week
Next Month

Preferred work type

Full Time
Part Time
Temp / on contract

Have you ever applied for a job with us before?

Page 1 of 3
 Yes
No
What’s the highest level of education you’ve achieved? - select one

Still attending High School

High School
College Degree

Do you speak any languages other than English?

Have you ever worked in a cleaning agency before?

Yes
No

If you have worked in a cleaning agency, please tell us the name and location
of the store and how long you worked there.

If you have not worked in a cleaning agency, please tell us briefly about any
experience you have had (company you worked for, job responsibilities).

Have you attended any special cleaning courses or training?

Page 2 of 3
 Yes
No

If you have attended any special cleaning courses or training, please tell
us the name of the class

Work history

Please tell us anything else you would like us to know about why we should
consider you for a position.

Reference (Provide Phone Number and Contact details of your references If

any)

Thank You!
Thanks very much for your interest. We will be in touch if we feel that you’re a match for one of our open positions

SIGNATURE _________________________________ DATE _____________________

PRINT NAME _________________________________

Page 3 of 3