Major Commercial Cleaning - Application Form

PERSONAL INFORMATION

Name:

Social Security Number:

Address:

City:

State:

Zip:

Phone:

Contact E-mail:

Referred to By:

EMPLOYMENT DESIRED

Position:

Date You Can Start:

Salary Desired:

Are You Employed?:

Yes

If So, May We Inquire of Your Present Employer?:

Yes

Ever Applied to Major Cleaning Before?:

Yes

If So, Where?:

If So, When?:

EDUCATION HISTORY

Name of Grammar School:

Address:

Years Attended:

Did You Graduate?:

Yes

Name of High School:

Address:

Years Attended:

Did You Graduate?:

Yes

Subjects Studied:

Name of College:

Address:

Years Attended:

Did You Graduate?:

Yes

Subjects Studied:

Name of Trade, Business or Correspondence School:

Address:

Years Attended:

Did You Graduate?:

Yes

Subjects Studied:

GENERAL INFORMATION

Subjects of Special Study/Research Work or Special Training/Skills:

U.S. Military or Naval Service:

Rank:

FORMER EMPLOYERS
List Below Last 4 Employers, Starting With Last 1 First.

1. Name of Employer:

Address:

Worked There:

From

Salary:

Position:

Reason for Leaving:

2. Name of Employer:

Address:

Worked There:

From

Salary:

Position:

Reason for Leaving:

3. Name of Employer:

Address:

Worked There:

From

Salary:

Position:

Reason for Leaving:

4. Name of Employer:

Address:

Worked There:

From

Salary:

Position:

Reason for Leaving:

REFERENCESS
Give Below The Names of 3 Persons Not Related to You,
Whom you Have Known at Least 1 Year.

1. Reference Name:

Address:

Business:

Years Known:

2. Reference Name:

Address:

Business:

Years Known:

3. Reference Name:

Address:

Business:

Years Known:

AUTHORIZATION

“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 also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”

Do you Accept These Terms?:

Yes

I Prefer To Be Contacted By: