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D
OW SERVICES INC
Janitorial Services
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Date:
*
Name:
*
First
Middle
Last
Address:
*
City / State / Zip Code
*
First
Middle
Last
Telephone: Home / Cell / Work
First
Middle
Last
Best time to contact you:
Can we contact you at work?
Yes
No
Email:
*
Date available for work
*
Position Applying for:
*
PT Office Cleaner
FT Janitor or Supervisor
Employment Desired:
*
Daytime
Evening/Night
*We rarely have daytime hours
If part-time, how many hours per day/night would you like?
1-2
3-4
Days of the week available:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
*Most positions are Mon. thru Fri
Which position/location are you applying for?
*
What time are you available to start cleaning each night?
*
Pm
Desired Wage:
*
Per Hour
How were you referred to this position?
*
Have you ever filed an application with us before? If yes, date:
*
Have you ever been employed with us before? If yes, date:
*
List any acquaintances or relatives employed by this company:
Have you ever been convicted of a felony? If yes, explain:
*
A “Yes” Answer will not necessarily bar employment, however, failure to disclose a conviction will bar employment.
Resume:
*If you have a resume, please copy & paste it here and then proceed to signature and date.
Education:
List Name of School / Course of Study / Years Completed / Diploma/Degree
Work Experience- Present or Last Employer's Name:
Dates Employed (From - To):
Employer's Address:
Employer's Phone Number:
Job Title:
Hourly Rate:
Supervisor's Name and Phone Number:
May we contact?
Yes
No
Reason for Leaving this job:
Work Experience- Previous Employer's Name:
Dates Employed (From - To):
Employer's Address:
Employer's Phone Number:
Job Title
Hourly Rate:
Supervisor's Name and Phone Number:
May we contact?
Yes
No
Reason for Leaving this job:
Use the space below to write any additional comments that you feel would be important in our consideration of your application
I certify that all information contained in this application and any attachments are true and complete to the best of my knowledge. I understand that any willful misrepresentation, false statement, or omission by me in the application or interview process will be cause for rejection of my application or termination of my employment. I authorize investigation of all statements made on this application and any attachments, and I release all persons, companies, and organizations from liability for providing or receiving such information. I further understand that this employment application and other employment related documents are not contracts of employment; and, that any oral or written statements to the contrary are hereby expressly disavowed.
Signature and Date:
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