ServiceMASTER by Althouse Cleaning Inc.

Application for Employment

ServiceMASTER by Althouse Cleaning Inc. Employment Application

Type your information in the spaces provided.

Name:
Phone Number :
E-mail
Position applied for
Street Address
City, State, Zip Code
Date Available to Start
Social Security Number
Salary Requirements
Can you legally work in the United States
Have you ever been convicted of a crime?
Give details of conviction(s)
Drivers License Number
Name of high school
Did you graduate?
Name an location of college(s) attended
College degree(s) earned or years attended
Trade, Business, or Correspondence Schools
Were you in the Military? Branch of Service?
Were you Honorably Discharged?
Summarize your special skills, qualifications and experience
Most recent employment date: From ___to ___
Company name and address
Company phone number
Supervisor
Title
Responsibilities/Job description
Starting Pay and Title
Ending Pay and Title
Reason for leaving
May we contact this employer?
Company name and address
Employed from ___to___
Company 2 phone number
Supervisor
Title
Responsibilities/ Job Description
Starting pay and title
Ending pay and titli
Reason for leaving
Company name and address
Employed from __ to __
Company phone number
Supervisor
Title
Responsibilities/ Job Description
Starting Pay and Title
Ending Pay and Title
Reason for Leaving
I certify that all information is true. Signature and Date

Please fill out and send this application even if you have a resume. You may also fax the resume to

915-581-9833 and we will attach it to your application.

Information to the applicant: As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.

If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the US, have a physical examination and/or a drug test, police background investigation, or to sign a conflict of interest agreement and abide by its terms.

I understand and agree to the information shown above:

Signature:__________________________ Date:___________

Electronic signature entered above constitutes a legally binding affirmation as to the truth of the statements made and agreement to terms of employment.

Equal Employment Opportunity:

While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning andreporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment.

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