Job Opportiunity Application for Employment Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Americare Commercial Cleaning is committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis. PERSONAL BACKGROUND Name *FirstMiddleLastPresent Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePermanent Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutTelephone Number *SOCIAL SECURITY # *DRIVER'S LICENSE # *Emergency phone # *Email *Do you have full time access to a vehicle? *YesNoDepending on the position you are applying for driving may be a requirement of the job. Is your license valid? *YesNoWould you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties? *YesNoIf you are hired, when can you start work?Which of the following categories of jobs have you had?HousecleaningHotel/MoteRestaurantFast FoodJanitorialSalesHomemakerManufacturingServiceOtherAre you presently employed?YesNoIf yes, may we contact your present employer?YesNoWORK EXPERIENCE List your most recent employer starting with your present or last place of employment. Company name *Company Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateLayoutStart Date *Salary *End DatePostion *Reason for LeavingLayoutSupervisor's Name *Supervisor's Phone # *EDUCATIONAL BACKGROUND High School09101112GEDLayoutCollegeTrade, Business or Graduate SchoolMAJOR AREA OF STUDYMAJOR AREA OF STUDY Have you ever been convicted of a criminal offense? *YesNoIf yes, explain:Note: As a matter of policy, Americare Services conducts a police background and driving record check on any applicant in consideration for hiring PERSONAL REFERENCES List the names of two persons not related to you, whom you have known for at least three years. Refreances 2Reference 1 *Reference 2 *Phone *Phone *Years KnownYears KnownTo what extent would the following job characteristics be attractive to you? More flexible daytime hours than other jobs.VERY GREATGREATSOME WHATLITTLEVERY LITTLEWorking in a team environmentVERY GREATGREATSOME WHATLITTLEVERY LITTLEThe opportunity to become a team managerVERY GREATGREATSOME WHATLITTLEVERY LITTLEPhysical activity.VERY GREATGREATSOME WHATLITTLEVERY LITTLEThe opportunity to work part-timeVERY GREATGREATSOME WHATLITTLEVERY LITTLEHelping clients by keeping their office space clean.VERY GREATGREATSOME WHATLITTLEVERY LITTLEA good relationship with fellow employees.VERY GREATGREATSOME WHATLITTLEVERY LITTLERecognition from management for good work.VERY GREATGREATSOME WHATLITTLEVERY LITTLEHow did you hear about us?Newspaper AdWebsiteReferenceOtherPLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS WHICH ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING. In signing this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and I understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize Americare Commercial Cleaning to which I am applying, to conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I authorize any of the persons or organizations named in this application to provide complete information and records regarding my employment, education, character and qualifications. I release all parties from any liability in connection with the provision and use of such information. *YesNoI understand and agree that, if employed by Americare Commercial Cleaning I will be responsible for familiarizing myself with All rules and regulations of Americare Commercial Cleaning as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. *YesNoI also understand that no representative of Americare Commercial Cleaning has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time. *YesNoI have read, understand and agree with the aboveSignature *Date *This application is current for 365 days from the date above signed. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. Submit