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Employment Application

Job Name(Required)

Personal Information

First Name(Required)

Middle Initial

Last Name(Required)

Email Address(Required)

Mailing Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Are you a US Citizen?(Required)

No

Yes

Have you ever been convicted of a felony?(Required)

No

Yes

If selected for employment, are you willing to submit to a pre-employment drug screening test?(Required)

No

Yes

Education

Please note the highest level of education achieved.

School Name

School Location

Years Attended

Completed?

Current Employer

Please document your current place of employment. If you are not currently employed, please document your most recent place of employment.

Employer Name

Dates Employed

Work Phone Number

Pay Rate

Employer Address

Position/Title

Supervisor's Name and Title

Duties and Responsibilities

Reason for Leaving

May we contact this employer?

No

Yes

Professional References

Please provide two professional references.

Reference 1 Name

Reference 1 Title

Reference 1 Company

Reference 1 Phone

Reference 2 Name

Reference 2 Company

Reference 2 Title

Reference 2 Phone

Personal References

Please provide two personal references.

Reference 3 Name

Reference 3 Phone

Reference 4 Name

Reference 4 Phone

Acknowledgement and Authorizations

I certify that all answers given herein are true and complete to the best of my knowledge.

No

Yes

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an amployment decision.

No

Yes

In the event of employment, I understand that false or misleading information given in my application or interview(s) will result in termination.

No

Yes

Résumé or CV

File

Accepted file types: pdf, word, Max. file size: 32 MB.

Signature

Please type your full legal name below.

Date Signed

CAPTCHA

35035

Community

In addition to our professional credentials, we are proud to be a part of local chambers of commerce and networking groups, and we always work to support local small businesses.

(469) 980-8335
office@remclean.com

Commercial

Carpet Cleaning
Tile Grout Cleaning
Upholstery Cleaning
Hardwood Cleaning
Stain & Odor Removal
Scotchgard

Residential

Carpet Cleaning
Tile Grout Cleaning
Upholstery Cleaning
Hardwood Cleaning
Pet Odor Removal
Scotchgard

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