Personal Information
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| First Name* |
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| Last Name* |
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| Email Address* |
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| Address |
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| City |
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| State & Zip |
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| Primary Phone* |
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| Secondary Phone |
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Eligibility and Availability
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| Driving may be a requirement of this job. Do you have a valid driver’s license, liability insurance, and full-time access to a vehicle? |
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| Are you able to submit verification of your legal right to work in the U.S.? |
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| Please list your availability to work. |
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| How many hours per week are you seeking? |
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| What date are you able to begin work? |
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Employment History
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| Current/Most Recent Employer Name: |
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| Dates of Employment: |
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| Supervisor Name: |
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| Phone: |
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| Reason you are considering new employment? |
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| May we contact this employer? |
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| Previous Employer Name: |
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| Dates of Employment: |
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| Supervisor Name: |
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| Phone: |
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| Reason for leaving? |
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| May we contact this employer? |
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| Previous Employer Name: |
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| Dates of Employment: |
To |
| Supervisor Name: |
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| Phone: |
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| Reason for leaving? |
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| May we contact this employer? |
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Criminal History
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| Have you ever been convicted of a criminal offense? |
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| If yes, explain: |
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| Have you ever been bonded? |
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| Has your driver's license ever been suspended? |
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| How did you hear about this position? |
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| Please tell us a little about yourself or provide any questions or comments you may have. |
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Signature
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| In digitally signing this application, I certify that all the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize All Star Cleaning Services to conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I authorize any of the persons or organizations named in this application to provide complete information and records regarding my employment, education, character and qualifications. I release all parties from any liability in connection with the provision and use of such information. |
| I Agree* |
| Initials* |
| I understand and agree that, if employed by this company, I will be responsible for familiarizing myself with all rules and regulations of the company as they presently exist or are later modified, and that I will abide by its rules and regulations which I understand are subject to change. |
| I Agree* |
| Initials* |
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