Employment

EMPLOYMENT APPLICATION

Thank you for your interest in employment with A – 1 Janitorial Services, Inc. We are an equal opportunity employer and do not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, sexual orientation, national origin, disability or handicap, or veteran status.

  • Incomplete applications will not be considered.
  • Please do not state “see resume” on any part of the application.
  • A resume and additional reference sheet may be included with application. This employment application is good for 30 days only. Consideration for employment after 30 days requires a new application. today is …
    PERSONAL
    Name
    		 (Last, First Middle)
    Address
    City, State
    		 ,
    Zip
    Position Sought
    Preferred Hours
    		 Part Time Full Time Either
    Days Available
    		 Sun Mon Tues Wed Th Fr Sat
    Hours Available
    Schedule Restrictions
    Date Available
    Salary Desired
    Phone Number
    Social Security Number (last 4 digits)
    Date of Birth (This information will be used to create a “unique i.d.” with which to track your application. It will have no impact on hiring consideration.)
    Are you over 18 yrs old
    		 Yes No
    Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility.) Yes No
    EDUCATION
    Please indicate education or training which you believe qualifies you for the position you are seeking.
    High School (yrs completed)
    		 1 2 3 4
    Diploma
    		 Yes No
    GED
    		 Yes No   Not Applicable
    School(s)(include city/state)
    College (yrs completed)
    		 1 2 3 4
    College(s)(include city/state)
    Major
    Degrees Earned
    Other Training or Degrees
    School(s)(include city/state)
    Course(s)
    Degrees/Certificates Earned
    SKILLS
    Janitorial Experience
    Office
    Equipment Used
    Software Skills
    Machinery Experience
    Ever employed by A-1 Janitorial
    		 Yes No
    If yes, Please Explain
    RECORD OF CONVICTION (A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered).
    During the last ten years, have you ever been convicted of a crime other than minor traffic offenses?
    		 Yes Felony Misdemeanor No
    If yes, Please Explain
    EMPLOYMENT HISTORY
    Provide ten years of history, beginning with your current or last employer first.
    May we Contact Your Present Employer?
    		 Yes No
    If any employment was under a different name, indicate name
    Employer 1
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 2
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 3
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 4
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Additional Employment Information(if applicable)
    Employer 5
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 6
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 7
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    Employer 8
    Address
    Telephone
    Position
    Dates of Employment:
    		 From: (mo/yr) To: (mo/yr)
    Salary
    Supervisor
    Department
    Duties
    Hours
    		 Full Time    Part Time No. of Hours
    Reason For Leaving
    PROFESSIONAL REFERENCES(No friends or relatives)
    Name 1
    Address
    Phone
    Name 2
    Address
    Phone
    Name 3
    Address
    Phone
    Name 4
    Address
    Phone
    APPLICANT’S CERTIFICATION AND AGREEMENT I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements and references contained in this application for employment as may be necessary in arriving at an employment decision. I understand that I may need to consent to a background check, credit check and drug test in the event that I am conditionally offered employment and refusal to consent to such checks and tests will result in a revocation of my employment offer. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer. I understand that this application will remain active for thirty (30) days after which time a new application will need to be completed for further consideration.
    Full Name
    		 (in lieu of signature)
    Date