Personal Information:

Full Name:         Social Security Number:   
Do you have a permanent address:      City:      State:   
How long have you lived there:       
Do you plan on staying in the area for more than one year:    Are you over the age of 18: 
Have you ever applied for a job with this company before: 
Have you ever worked for this company before: 

Mailing Address: 
Mailing City:      Mailing State:        Mailing Zip:   

Email address: 

What is the best time to call you:    May we call you at work:   
Telephone #1:      Type: 
Telephone #2:      Type: 
Telephone #3:      Type: 
Drivers License(DL) Number:      DL State:      DL Expires: 

In case of emergency who should we contact:  Phone number: 

Basic Eligibility:

Do you have all of the information required to fill out form I-9  
            -follow this link to see form I-9
Do you have a reliable car 
Can you work evening hours and weekends 
If there are conflicts, please explain:

 

Management Experience:

Please explain below what type of management experience you have:

None

Accounting Experience:

Please explain below what type of accounting experience you have:

None

Education/Training/Experience:

Name and location of High School:      Graduated:      Ged: 

Name and location of College:      Major:      Degree: 
Semester hours completed:      Concentration: 

Name and location of Trade of Technical School:      Completed: 

Do you have any experience cleaning commercial buildings? 
Please list your experience.

Please select any special procedures you have experience with:
Carpet Cleaning                        Floor Maintenance
Windows                                  Pressure Washing

Do you have any experience being a supervisor in a service business? 
What kind of experience?

What kind of computer skills do you have?
Word Processing ie...Word, Wordpro, WordPerfect, etc...
Spreadsheets ie ... Excel, 123
Personal Information Manager & Send / Receive email ie ... Outlook, Organizer, Notes, Eudora
PDA usage ie ... HP, Compaq, Palm

Employment History:
Please list the last three jobs you have had.  List your last or present job first.

#1:   Name of Employer:      Type of Business: 
Address:      City: 
State:      Zip:      Phone: 
Date Employed from:      to: 
Starting Job Title:      Ending Job Title: 
Beginning Salary/Wage:       Ending Salary/Wage:
Full-time:      Part-time: 
Name & Title of Supervisor:    May we contact: 
List Job Duties:

Reason for leaving:

#2:   Name of Employer:      Type of Business: 
Address:      City: 
State:      Zip:      Phone: 
Date Employed from:      to: 
Starting Job Title:      Ending Job Title: 
Beginning Salary/Wage:       Ending Salary/Wage:
Full-time:      Part-time: 
Name & Title of Supervisor:    May we contact: 
List Job Duties:

Reason for leaving:

#3:   Name of Employer:      Type of Business: 
Address:      City: 
State:      Zip:      Phone: 
Date Employed from:      to: 
Starting Job Title:      Ending Job Title: 
Beginning Salary/Wage:       Ending Salary/Wage:
Full-time:      Part-time: 
Name & Title of Supervisor:    May we contact: 
List Job Duties:

Reason for leaving:

 

Past Incidents:

Have you pleaded guilty, no contest to, or have been convicted of a felony or a lesser crime which involved theft, dishonesty or violence in the past seven years? 
If so, describe the nature of the offense(s) and the county and state where convicted.

Have you had your driver's license suspended or revoked in the past five (5) years? 
If so, list the state which suspended or revoked the license and the reason(s) for each suspension or revocation.

Have you ever been disciplined or fired by an employer in the past five (5) years? 
If so, please describe why?

Authorization and Acknowledgment of at will Employment

I hereby authorize U.S. Cleaning Professionals, Inc. to investigate all statements made in this application, reviewing my driving and criminal records, and to contact my previous employers.  I understand that any false statements made herein may eliminate my application from employment consideration, or if discovered after hire, may result in my discharge from employment.

If hired I will conform to the policies, rules and regulations of U.S. Cleaning Professionals, Inc.

I agree to submit to drug testing if requested by U.S. Cleaning Professionals, Inc., and I also agree to sign the "Non-Compete" agreement.

I acknowledge that both my employment and my compensation CAN BE TERMINATED AND/OR CHANGED AT WILL, without prior notice and at the sole option of U.S. Cleaning Professionals, Inc..  I undestand that no representative of U.S. Cleaning Professionals, Inc. has any authority to enter into any agreement hiring me for a specified period of time, or to make any agreement contrary  to this acknowledgment.

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_____________________________________________                _____________________________
Applicant's Signature                                                                     Date