GreenEarth Cleaning
Application Form "*" indicates required fields Applicant Instructions Individuals who need assistance with any phase of the application process should notify the person who gave them the application to request reasonable accommodation. Complete all sections. Any incomplete applications will not be processed. PLEASE PUT “NOT APPLICABLE” where appropriate for unanswered questions. Provide only requested information. Failure to do so may result in the disqualification of your application. Some packets may include an EEOC Self Identification Form. This information is being gathered for affirmative action under Section 503 of the Rehabilitation Act of 1973. The information requested will not be subject to any adverse treatment for refusing to complete the questionnaire. Position Applied For: Date* MM slash DD slash YYYY Name* First Middle Last Phone*Date of Birth: Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address:* AVAILABILITYWhat date can you start? MM slash DD slash YYYY What catergory would you prefer?* Full Time Part Time Temporary For which schedules are you available? Weekdays Weekends Evenings Nights REFERENCES Upload references here include name, address/phone, years known and relationship.Max. file size: 50 MB.EDUCATION Please check highest level of grade completed: 7-12 13 14 15 16 16+ DRIVER"S LICENSE If the job requires, do you have the appropriate valid driver's license?* Yes No Have you had any moving violations within the last seven years?* Yes No If yes, please describe:How Were You Referred To Us? Newspaper Ad Window Sign Online Employee Referral PREVIOUS EMPLOYMENT PLEASE NOTE: Your application may not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. Ask for a phone book or call information if necessary. FOR EMPLOYERS OUTSIDE THE U.S., A CURRENT FAX NUMBER IS MANDATORY. Please upload your resume here or copy paste it in the box below.Upload Resume*Max. file size: 50 MB.Copy Paste resume below:Cover Letter*Max. file size: 50 MB.PLEASE EXPLAIN ANY GAPS IN EMPLOYMENTPERMISSION TO WORK IN THE UNITED STATES* Yes No Are you legally eligible to work in the United States?* Yes No CRIMINAL HISTORY *Please note that a “Yes” answer to any of the following questions will not necessarily disqualify you from employment. Factors such as the age and time of the offense, seriousness and nature of the violation, and rehabilitation will be considered when making any employment decisions. Have you ever been convicted of a crime?* Yes No Are you currently awaiting trial for any criminal offense?* Yes No Please explain any “Yes” answer.Have you ever initiated an act of violence in the workplace?* Yes No Please explain any “Yes” answer.APPLICANT NOTE I certify that I have read and understand the applicant note on this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.CERIFICATION AND RELEASE* I agree to the privacy policy.Check the box to certify that you have read and understand the applicant note on this form and that the answers given by you to the foregoing questions and the statements made by you are complete and true to the best of your knowledge and belief. You understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. You authorize the company and/or its agents, including consumer reporting bureaus to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, You are willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.CAPTCHA
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Please upload your resume here or copy paste it in the box below.