Employment Application

EMPLOYER INFORMATION:

Swept Away Cleaning & Janitorial, Inc.
It is the policy of Swept Away Cleaning & Janitorial, Inc. to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

CERTIFICATION:

I AGREE THAT BY "SUBMITTING" THE EMPLOYMENT APPLICATION THAT I HAVE CAREFULLY READ THE "CERTIFICATION" BELOW AND I UNDERSTAND AND AGREE TO ITS TERMS.

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Swept Away Cleaning & Janitorial, Inc. to contact my former employers and education organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the same right. Moreover, no agent, representative or employee of Swept Away Cleaning & Janitorial, Inc., except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

Application Information

Application Date*
Certification*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
Mode of Transportation*
Are you willing to work any shift, including nights and weekends? If no, please state any limitations.*
Work Shift Limitations
Date You Can Begin Working*
If hired, are you able to submit proof that you are legally eligible for employment in the United States?*
Are you willing to submit to random drug testing?*
Are you willing to submit to a background check?*
Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?*
If no, what reasonable accommodation, if any, would you request?
Applicant's Employment History
Employer #1
1. Company Name*
1. Supervisor's Name*
First Last
1. Employer's Address*
Street Address Address Line 2 City State ZIP Code
1. Job Duties*
1. Reason for Leaving*
1. Start/End Date (MM/YY - MM/YY) *please enter both dates*
Employer #2
2. Company Name
2. Supervisor's Name
First Last
2. Employer's Address
Street Address Address Line 2 City State ZIP Code
2. Job Duties
2. Reason for Leaving
2. Start/End Date (MM/YY - MM/YY) *please enter both dates
Employer #3
3. Company Name
3. Supervisor's Name
First Last
3. Employer's Address
Street Address Address Line 2 City State ZIP Code
3. Job Duties
3. Reason for Leaving
3. Start/End Date (MM/YY - MM/YY) *please enter both dates
Applicant's Education and Training
Did you receive a High School Degree or Equivalent?*
Did you attend a college?*
College Name
College Address
Street Address Address Line 2 City State ZIP Code
Did you receive a degree?
List any other training (Graduate/Technical/Vocational)
Other Training
Military Service (list branch and any specialized training)
Please indicate any licenses or certifactions that you hold
Please indicate any Awards, Honors, Special Achievements
Emergency Contact Information
Who should be contacted if you are involved in an emergency?
Emergency Name*
First Last
Emergency Address*
Street Address Address Line 2 City State ZIP Code
What is your relationship with your Emergency Contact?*
Emergency Contact's Phone Number*
References: List any two non-relatives who would be willing to provide a reference for you.
1. Reference's Phone Number*
1. Reference's Name*
First Last
1. Reference's Address*
Street Address Address Line 2 City State ZIP Code
1. Relationship to you*
Second Reference
2. Reference's Phone Number*
2. Reference's Name*
First Last
2. Reference's Address*
Street Address Address Line 2 City State ZIP Code
2. Relationship to you*
Please provide any other information that you believe should be considered, including whether you are bound by any agreement with your current employer.
Other Info