Employment

Name:
Email:
Phone:
City:
State:
Address:


How did you hear about us?

CraigslistGoogleTrucks/SignsReferralOther
(if other)

Are you eligible to work in the United States? YesNo

Are you 18 years old of age? YesNo

Have you been convicted of or pleaded no contest to a felony within the last five years? YesNo

If yes, please explain:

Do you have any physical restrictions to perform job duties/responsibilities? YesNo

If yes, please explain:

POSITION/AVAILABILITY:

Position Applying For:

Exterior Window Cleaning TechnicianInterior Window Cleaning TechnicianPressure Washing TechnicianManual Laborer

What date are you available to start work?

EDUCATION BACKGROUND:

Special Skills and Qualifications: Licenses, Skills, Training, Awards

EMPLOYMENT HISTORY:

Present/Last Position:

From: To:
Employer:
Supervisor:
Phone:
Position Title:
Salary:
Responsibilities:
Reason for Leaving:


Other Employment History:

From: To:
Employer:
Supervisor:
Phone:
Position Title:
Salary:
Responsibilities:
Reason for Leaving:


May We Contact Your Present Employer(s)? YesNo

REFERENCES:

Name:
Company:
Phone:


Name:
Company:
Phone:


Name:
Company:
Phone:


I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature:


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