Ameri Care Service

Employment

Job Opportunity

Application For Employment

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 *
First
Middle
Last

Present Address *
Address Line 1
Address Line 2
City
State
Zip Code
Telephone Number *
Emergency phone # *
SOCIAL SECURITY # *
Email *
DRIVER'S LICENSE # *

Do you have full time access to a vehicle? *
Depending on the position you are applying for driving may be a requirement of the job. Is your license valid? *
Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties? *
If you are hired, when can you start work?

Which of the following categories of jobs have you had?
Are you presently employed?
If yes, may we contact your present employer?
WORK EXPERIENCE

List your most recent employer starting with your present or last place of employment.
Company name *
Company Address *
Address Line 1
City
State

Start Date *
End Date
Salary *
Postion *
Reason for Leaving
Supervisor's Name *
Supervisor's Phone # *

EDUCATIONAL BACKGROUND

High School

College
MAJOR AREA OF STUDY
Trade, Business or Graduate School
MAJOR AREA OF STUDY
Have you ever been convicted of a criminal offense? *
If 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.

Reference 1 *
Phone *
Years Known
Reference 2 *
Phone *
Years Known
To what extent would the following job characteristics be attractive to you?

More flexible daytime hours than other jobs.
Working in a team environment.
The opportunity to become a team manager.
Physical activity.
The opportunity to work part-time.
Helping clients by keeping their office space clean.
A good relationship with fellow employees.
Recognition from management for good work.
How did you hear about us?

PLEASE 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. *
I 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. *
I 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. *


I have read, understand and agree with the above *

Signature *
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.
Name *
First
Middle
Last

Present Address *
Address Line 1
Address Line 2
City
State
Zip Code
Telephone Number *
Emergency phone # *
Social Security # *
Email *
Driver's License # *

Do you have full time access to a vehicle? *
Depending on the position you are applying for driving may be a requirement of the job. Is your license valid? *
Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties? *
If you are hired, when can you start work?

Which of the following categories of jobs have you had?
Are you presently employed?
If yes, may we contact your present employer?
WORK EXPERIENCE

List your most recent employer starting with your present or last place of employment.
Company Name *
Company Address *
Address Line 1
City
State

Start Date *
End Date
Salary *
Postion *
Reason for Leaving
Supervisor's Name *
Supervisor's Phone # *

EDUCATIONAL BACKGROUND

High School

College
Major Area Of Study
Trade, Business or Graduate School
Major Area Of Study
Have you ever been convicted of a criminal offense? *
If 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.

Reference 1 *
Phone *
Years Known
Reference 2 *
Phone *
Years Known
To what extent would the following job characteristics be attractive to you?

More flexible daytime hours than other jobs.
Working in a team environment.
The opportunity to become a team manager.
Physical activity.
The opportunity to work part-time.
Helping clients by keeping their office space clean.
A good relationship with fellow employees.
Recognition from management for good work.
How did you hear about us?

PLEASE 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. *
I 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. *
I 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. *


I have read, understand and agree with the above *

Signature *
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.