Employment Application

Personal Information
Name
Home Phone
Address City State Zip

Are you over 18 years of age? Yes | No
What transportation will you use to get to work?
Have you previously worked for 3E Cleaning Company before?
If yes dates:

Referred By:
Are you currently employed? Yes | No
If so may we contact your current employer? Yes | No
Position desired?
Date available for employment:
Salary desired?

In case of an emergency contact
Name
Address City State Zip
Phone

Work Schedule
Are you willing to work weekends? Yes | No
Are you willing to work nights? Yes | No
Are you willing to work holidays? Yes | No

Education
Highest grade completed:
Do you have a high school diploma or GED? Yes | No

Employment History

1. Present or Previous Employer
Name
Address Address City State Zip
Phone
Dates of employment
Position held
Supervisors Name
Describe your duties
Reason for Leaving
   
2. Present or Previous Employer
Name
Address Address City State Zip
Phone
Dates of employment
Position held
Supervisors Name
Describe your duties
Reason for Leaving
   
3. Present or Previous Employer
Name
Address Address City State Zip
Phone
Dates of employment
Position held
Supervisors Name
Describe your duties
Reason for Leaving

Comments
Take time to list or explain any special skills or information about your self you feel we should know when considering you for the position.

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