3900 Progress Street
NORTH LITTLE ROCK, AR 72118
 phone 501-945-3219
fax 501-955-2924
jcamp@commercialcleaner.net

Employment Application for Commercial Cleaner, Inc.

Should you prefer to email your own prepared resume, send to employment@commercialcleaner.net

ABOUT YOU

 

Last Name:   First Name Middle

 

Address:   City:   State Zip

 

Phone: Email Address:

 

Date Available:   SSN: Desired Salary:

 

Position Applied For:

 

Are you a US Citizen?   If not, do you have a permit to work in the US?

 

Have you ever worked for us before?   Doing what?

 

Have you ever been convicted of a felony?    If so, please explain below:

 

 

YOUR EDUCATION

 

High School   High School Location

 

Graduate?   Year Graduated

 

Name of College   Location

 

Graduate?   Year Graduated Degree/Major

 

Other School/Training   Location

 

Graduate?   Year Graduated Field

 

REFERENCES - List 3 references

 

Name:   Relationship: Phone:

 

Address:

 

Name:   Relationship: Phone:

 

Address:

 

Name:   Relationship: Phone:

 

Address:

 

EMPLOYMENT HISTORY - list last 3 jobs held

 

Employer:   Phone:

 

Address:

 

Supervisor:   Employed From/To

 

Job Title:   Ending Salary:

 

Reason For Leaving:

 

May we contact them?

 

Employer:   Phone:

 

Address:

 

Supervisor:   Employed From/To

 

Job Title:   Ending Salary:

 

Reason For Leaving:

 

May we contact them?

 

Employer:   Phone:

 

Address:

 

Supervisor:   Employed From/To

 

Job Title:   Ending Salary:

 

Reason For Leaving:

 

May we contact them?

MILITARY SERVICE

Branch:   From Year to Year

Rank at Discharge   Honorable?

If not Honorable, please explain below:

Please initial here   Date:

   Enter the word (in UPPER CASE) shown at the left