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Job Application
Step 1 of 6 - Basic Information
16%
Name
*
First
Last
How did you hear about the job?
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
*
Do you have a valid Michigan Driver's License?
*
Yes
No
Do you own a reliable vehicle?
*
Yes
No
Are You Currently Employed?
Yes
No
Where are you currently employed?
Please provide the days and times of your current job.
What is the name and phone number of your current manager.
Have you had experience cleaning before?
Yes
No
Which shifts are you available to work?
*
Full Time (Monday - Friday: 6am to 5pm)
Part Time (Monday - Friday: 6am to 1pm)
Part Time (Monday - Friday: 10am to 5pm)
Will any of the following be in your background check?
Please check all that apply, whether old or new.
Warrants
Misdemeanors
Felonies
Traffic Violations
None of the above
Please Explain Further:
Work Experience #1
Name of Employer
*
Employer Address
City
State / Province / Region
ZIP / Postal Code
Start Date
*
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Leave this blank if you are still working for this employer.
Hourly Rate
*
Job Title
*
Reason for Leaving
*
Additional Experience?
*
Yes
No
Work Experience #2
Name of Employer
Employer Address
City
State / Province / Region
ZIP / Postal Code
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Leave this blank if you are still working for this employer.
Hourly Rate
Job Title
Reason for Leaving
Additional Experience?
*
Yes
No
Work Experience #3
Name of Employer
Employer Address
City
State / Province / Region
ZIP / Postal Code
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Leave this blank if you are still working for this employer.
Hourly Rate
Job Title
Reason for Leaving
References
*
Please Provide Three References
Name
Relationship
Phone Number
Did you graduate from High School?
*
Yes; I have a high school diploma
No; I did not graduate from high school
I received an equivalency certificate (GED)
Education
*
Name of School
Years Attended
Area of Study
Resume/CV Upload
*This is optional
Accepted file types: pdf, doc, docx, odf, txt, rtf.
Consent
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
