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Employment Application
Name:
Email:
Address:
City, State, Zip Code:
No. of Years at this Address?
Phone:
Previous Addresses (last 10 years):
Work Experience:
Residential Cleaning
Commercial Cleaning
Sales / Marketing / PR
Administration
Clerical
Other: (indicate below)
Other:
Qualifications:
Able to perform typical tasks?
Able to Stand, Bend, Kneel?
Able to lift up to 50 pounds?
Ever convicted of criminal offense?
Can work legally in USA?
When will you be available?
Now
Within 2 weeks of hire date
Other: (indicate below)
Other:
Employment:
Supply NAME and ADDRESS of Your Last THREE EMPLOYERS (Dates Employed, Salary, Position and Duties, Reason For Leaving)
Employment Background:
Your Comments:
Applicant Signature:
I hereby authorize the potential employer/contractor to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer/contractor and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment and/or contract if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer/contractor can terminate the relationship at will, with or without cause, at anytime, so long as there is no violation of applicable federal or state law. I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment/contract. I represent and warrant that I have read and full understand the foregoing, and that I seek employment under these conditions.
Digital Signature:
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