Employment - Ohio Kentucky Indiana Window Cleaning

Personal

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Email Address*

Are you eligible to work in the United States?*

Yes
No

Date of Birth*

If you are under age 18, do you have an employment/age certificate?*

Yes
No

If Yes, Please Explain:

Position & Availability:

Position Applying For:*

Hidden

Position Applying For

Days Available*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any

Hours Available:*

AM
PM
Graveyard
Specific Days & Hours

Details on Specific Day/Hour Availability

Date Available to Start*

Education

Where did you attend high school & college? (Click the + button to add a new row)*

School Name & Address	Degree/Diploma	Graduation Date

Skills and Qualifications: Licenses, Skills, Training, Awards*

Employment History

Present or Last Position

Company Name*

Company Address*

Supervisors Name & Title

Phone*

Job Title*

Dates Employed

From	To

Responsibilities:*

Hourly Salary*

Reason for Leaving?

Company Name (Second Most Recent)

Company Address

Supervisors Name & Title

Phone

Job Title

Dates Employed

From	To

Responsibilities

Salary

Reason for Leaving?

Terms & Conditions

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Do you agree with the Terms & Conditions?*

Yes

Digital Signature:*

Printing your First Name + Middle Initial + Last Name will act as your digital signature.

Date

References

Please list 3 references we can call*

Name	Address	Phone Number	Years Known

Attach Resume (required for office positions)

Max. file size: 32 MB.

Untitled

Name

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