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Complete Cleanliness
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First name
Email
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Are you eligible to work in the US?
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Start Date
Hours available to work
Days
Evenings
Weekends
Holidays
Have you ever been accused of, charged with, or convicted of any crime?
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Can you perform the essential functions, with or without reasonable accommodations, which may include: lifting up to 50lbs, bending, crawling, standing for periods up to 8 hours, climbing ladders, use of various cleaning supplies?
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Last name
Phone
Birthday
Veteran's Preference
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Desired hourly wage
Do you have a valid driver's license?
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If you answered yes, what was the charge and date of the offense?
If you answered no, please list any necessary accommodations.
Please list any qualifications, education, or training you believe would help you perform the work in this position. (EX. any education or military experience)
Previous Work Experience 1: Last Job Title and Company
Previous Work Experiece 1: Job Duties
Previous Work Experience 1: Start and End Dates
Previous Work Experience 1: Reason for leaving
Previous Work Experience 1: Supervisor Name and Phone No.
May we contact this employer?
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Previous Work Experience 2: Last Job Title and Company
Previous Work Experience 2: Job Duties
Previous Work Experience 2: Start and End Dates
Previous Work Experience 2: Reason for leaving
Previous Work Experience 2: Supervisor Name and Phone No.
May we contact this employer?
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Personal Reference 1: Name, address, phone no. and relatioship
Personal Reference 2: Name, address, phone no. and relatioship
I acknowledge and understand that Complete Cleanliness is an “at will” employer. Therefore any employee (regular, temporary, independent contractor, or any other type of employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause and with or without notice to the other party.
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am chosen for the position and employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize any representative of Complete Cleanliness to make an investigation of the facts set forth in this application (including a background check) and release Complete Cleanliness from any liability. I also give permission to Complete Cleanliness to contact any references listed above.
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Thank you! We’ll be in touch.
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