Employment -

PERSONAL INFORMATION

Full Name*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell / Other Phone

Email

Are you a citizen of the United States?*

Yes
No

If not, do you have work papers?*

Yes
No

Date Available to Start*

Salary Desired*

Type of Employment Desired:*

Days
Nights
Weekends

Check All That Apply

Type of Employment Desired*

Full Time
Part Time
Temp

Check All That Apply

Position Applied For

How many days have you missed in the last three years due to reasons other than paid holidays and vacation?*

0-10 days
11-30 days
30+ days

Have you ever had a work related injury?*

Yes
No

Do You Have a Valid Driver’s License?*

Yes
No

Do You Have Your Own Transportation?*

Yes
No

Have you ever been convicted of, or plead guilty to, or plead no contest to any crime in the Past 7 years?*

Yes
No

If Yes, please describe it in full (use back of paper if needed, it will not necessarily exclude you from consideration)

Do you have any pre-existing medical conditions that we should be made aware of, or any condition that limits you in anyway, physically or mentally?*

Yes
No

If Yes, please describe it in full (use back of paper if needed, it will not necessarily exclude you from consideration)

EDUCATION

Name and Location of School

High School

Did you graduate from High School?

Yes
No

Bus./Trade School

Did you graduate from Business / Trade School?

Yes
No

Degree

College or University?

Did you graduate from College/University?

Yes
No

Degree

PREVIOUS EMPLOYMENT

Name of Current/Previous Employer

Employer's Address

Employer's Phone

Hire Date

Leave Date

Hire Date

Reason for leaving?

Contact Person

AUTHORIZATION

BY CLICKING "SUBMIT BELOW", I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED BY Right Way Cleaning, ANY FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR IMMEDIATE TERMINATION OF EMPLOYMENT.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE AND RELEASE Right Way Cleaning FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM UTILIZATION OF SUCH INFORMATION.

I ALSO UNDERSTAND AND AGREE THAT NO REPRESENTATIVE OF Right Way Cleaning HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING, UNLESS IT IS IN WRITING AND SIGNED BY AN AUTHORIZED Right Way Cleaning REPRESENTATIVE.

Today's Date*

Employment

Employment Application

PERSONAL INFORMATION

EDUCATION

PREVIOUS EMPLOYMENT

AUTHORIZATION