Pioneer Commercial Cleaning, Inc.

Position applying for:

Position:

Location:

Type:

Shift:

Wage Range:

Contact information:

First name: *

Last name: *

Address 1: *

Address 2:

City: *

Social Security Number (ex: 123-45-6789): *

State: *

Zip Code: *

Phone (ex: 444-555-6666): *

Email: * (invalid email)

Date of Birth (ex: mm/dd/yyyy: *

Resume information:

Have you applied to this company in the past? * (REQUIRED)

Yes
No

Date last applied:

Have you ever been employed here before? * (REQUIRED)

Yes
No

Date last worked:

Do any friends or relatives, other than your spouse work here? * (REQUIRED)

Yes
No

Names:

Do you have any physical limitations? * (REQUIRED)

Yes
No

Explain:

Have you been convicted of a feony within the last 7 years? You will not be denied employment solely because og a conviction record, unless offense is related to the job which you have applied.

Yes
No

Are you a citizen of the United States? * (REQUIRED)

Yes
No
Permanent resident

Availability:

How will you get to work/jobsite? * (REQUIRED)

I have a car and drive
Get a ride
Bus

What shift are you available to work? * (REQUIRED)

Full-time
Part-time
Either

How far are you willing to commute (in miles or time)? * (REQUIRED)

Time of day available: * (REQUIRED)
Start time:
End time:

Education:

High School name/location:

Start date:

End date:

Did you graduate?

Yes
No

College name/location:

Start date:

End date:

Did you graduate?

Yes
No

Job Experience:

List each job held. Start with your present or last job, include military service assignments, and volunteer activities. (Exclude groups which indicate race, color, religion, gender or national origin.)

JOB #1

Company name:

Address:

Job title:

Phone:

Reason for leaving:

List major duties:

Employment date (START):

Employment date (END):

Hourly wage (STARTING):

Hourly wage (ENDING):

JOB #2

Company name:

Address:

Job title:

Phone:

Reason for leaving:

List major duties:

Employment date (START):

Employment date (END):

Hourly wage (STARTING):

Hourly wage (ENDING):

JOB #3

Company name:

Address:

Job title:

Phone:

Reason for leaving:

List major duties:

Employment date (START):

Employment date (END):

Hourly wage (STARTING):

Hourly wage (ENDING):

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and references listed above to give any and all information concerning my previous employment and any pertinent information that may have, personal or otherwise, and release all parties from all liability.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary be terminited at any time without any prior notice.

Join Our Team

Position applying for:

Contact information:

Resume information:

Availability:

Education:

Job Experience:

JOB #1

JOB #2

JOB #3