Employment Opportunities

Please complete the following form and click Submit, or you may click here and print or download the application.

 

Employment Application

Name*(Full Legal Name)

Email *  Phone

Address   City

State   Zip code


EDUCATION
Highest Grade Completed

 
Year Completed


If you did not complete high school, do you have a high school equivalency diploma?


Date Received


Number of years of post education?



 EXPERIENCE

May we contact your current supervisor?

A. Job Title   Employer

Address (Street, City, State)   Phone

Type of Business   Immediate Supervisor

Supervisor Title   Salary (Start & End)

Dates of Employment - (Month/Year to Month/Year)

Full time or Part time?   Hours/Week

Number and Title of Employees you supervised


Equipment used


Reason for leaving


Duties





B. Job Title   Employer

Address (Street, City, State)   Phone

Type of Business   Immediate Supervisor

Supervisor Title   Salary (Start & End)

Dates of Employment - (Month/Year to Month/Year)

Full time or Part time?   Hours/Week

Number and Title of Employees you supervised


Equipment used


Reason for leaving


Duties





C. Job Title   Employer

Address (Street, City, State)   Phone

Type of Business   Immediate Supervisor

Supervisor Title   Salary (Start & End)

Dates of Employment - (Month/Year to Month/Year)

Full time or Part time?   Hours/Week

Number and Title of Employees you supervised


Equipment used


Reason for leaving


Duties




Use this space for any additional information you think would help us evaluate your application, including training, seminars, workshops:



References
List names, addresses and relationships of three persons not related to you who know your qualifications:



 Miscellaneous

Requested work times (e.g. Day, Night or Weekends)

Are you able to provide your own transportation for your employment?

Have you ever been convicted for any violation (s) of law? * Including moving traffic violations


If Yes, please provide a description of offense

State of ordinance (if known)   Date of charge: (mo/day/yr)

Date of conviction: (mo/day/yr)  

County, City, State of conviction:

Availability:

When will you be able to start work? (No date is necessary if you are available as soon as you give two (2) weeks notice.)


CERTIFICATION

By entering your name and date below,
I hereby certify that all information provided is true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any employment in the service of Precision Office Cleaning. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent to references and former employers listed being contacted regarding this application.

*Applicant Signature: (Full Legal Name)

*Date: (Mo, Day, Yr)   



What is 9 + 3?









 

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