Application For Cleaning Professional Employment

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge.

I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. The Dirt Doctors is hereby authorized to make any investigations of my prior educational and employment history.

I understand that employment with The Dirt Doctors is “at will” which means that either I or The Dirt Doctors can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute.

Name *

First

Last

Date

Address

City

State

Zip

Home Phone

Cell Phone

Social Security

Email *

Position Applying For

How Did You Hear Of This Opening?

When Can You Start?

Desired Wage

Are you a US citizen or otherwise authorized to work in the US on an unrestricted basis? ( You May be Required to Provide Documentation )

What Hours Are You Available?

Have You Ever Been Convicted of a Felony? ( This will not necessarily affect your application )

If Yes, Please Describe Conditions.

High School Name

High School Location

High School Degree / Major

College Name

College Location

College Major / Degree

Other Training Name

Other Training Location

Other Training Major / Degree

In addition to work history, are there any other skills, qualifications or experience that we should consider?

Company Name

Company Address

Date Started

Starting Wage

Starting Position

Date Ended

Ending Wage

Ending Position

Name Of Supervisor

Telephone

Responsibilities

May We Contact?