Employment Application
Name
*
First Name
Last Name
Where Are You Located?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date Available
*
-
Month
-
Day
Year
Date
Desired Hourly Wage
*
Position Applying For
*
Window Cleaning Tech
Soft Washing Tech
Sales Representative
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S.?
*
Yes
No
Do you have a valid drivers license?
*
Yes
No
Have you ever been convicted of a crime or felony?
*
Yes
No
If yes, please explain circumstances
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How Did You Hear About Us?
Did someone refer you to us?
Yes
No
What is their name? *Needed to give them credit for the referral*
First Name
Last Name
What is their email? *Needed to give them credit for the referral*
example@example.com
Did you or your friend receive our "You Are Awesome!" referral card?
Yes
No
Other
If you weren't referred to us, how did you hear about our company?
Google
Facebook
Other
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Education
High School
*
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Did you graduate?
*
Yes
No
Did you attend college?
Yes
No
College Name
Degree
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Did you graduate?
Yes
No
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Previous Employment
Company Name
*
Job Title
*
Starting Wage
Ending Wage
Responsibilities
*
From
*
-
Month
-
Day
Year
Date
To
*
-
Month
-
Day
Year
Date
May we contact your previous supervisor for a reference?
*
Yes
No
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Pre-Employment Qualifications
If selected for employment, are you willing to submit to a pre-employment drug screen test?
*
Yes
No
As a pre-employment qualification, would you consent to a background check?
*
Yes
No
As a pre-employment qualification, do you have a valid driver's license?
*
Yes
No
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