CAREERS

Employment Application

Employment History

Name

Date of Birth

Address (City, State Zip)

Phone

Are you a citien of the United Sates of America?

Yes No

Have you ever used another name. AKA or Alias?

Yes No

Have you applied here before?

Yes No

If Yes, when?

EMPLOYMENT HISTORY

Employer #1

Name

Address (City, State Zip)

Phone

Supervisor's Name

Job Title

Reason for leaving

Dates of Employment (start & end)

Salary or hourly rate

Employer #2

Name

Address (City, State Zip)

Phone

Supervisor's Name

Job Title

Reason for leaving

Dates of Employment (start & end)

Salary or hourly rate

Employer #3

Name

Address (City, State Zip)

Phone

Supervisor's Name

Job Title

Reason for leaving

Dates of Employment (start & end)

Salary or hourly rate

EDUCATION

Schools, colleges attended

# Years, year graduated, degree

Describe any special qualifications you may have for this job

IDENTIFICATION

Drivers license #

State

Expiration date

Are you a veteran of the U.S. Military?

Yes No

I CERTIFY that the information given herein is true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination of any and all contracts.

Commercial Cleaning · Restoration · Repairs

CAREERS

CAREERS

Employment Application

Water Damage

Water Extraction Service

Industrial water extraction from flooded manufacturing plant.

Janitorial

Nightly Office Cleaning

Recurring nightly cleaning program for tech company HQ.

Mold Remediation

Basement Mold Treatment

Extensive mold treatment in commercial basement area.

Water Damage

Storm Damage Recovery

Full restoration after severe storm flooding in retail space.

Janitorial

Commercial Floor Care

Strip, wax, and polish of warehouse facility floors.

Mold Remediation

Mold Remediation

Complete mold removal and prevention in commercial building.

Water Damage

Flood Restoration

Emergency water extraction and restoration after pipe burst.

Janitorial

Office Deep Clean

Complete deep cleaning of a 50,000 sq ft corporate office space.