Form Page: Employement

Date

First Name

Last Name

Address

City

State

Zip

Last 4 of SSN

Home Phone

Cell Phone

Position Applied For

Salary Desired

Hours Available to Work

Are you over 18 yrs old?

Monday

Can you lift 40 lbs or more?

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

When available to begin work

Education

Years Completed

Major/Degree

Type of School

Name of School and Complete Mailing Address

High School

College, Bus or
Trade School

Professional
School

Other

Have you ever been convicted of a crime?

If yes, please explain:

*Conviction of a crime is not an automatic bar to employment. All circumstances will be considered, including the nature and seriousness of the crime, the time that has passed since the conviction or completion of sentence, and the nature of the job sought.

Do you have a drivers license?

State of Issue

Have you had any accidents in the past 3 years?

How many?

Have you had any moving violations in the past 3 years?

How did you hear about ServiceMaster Cleaning? (Examples: Craigslist, friend, email blast, etc)

Previous Employment

Name of Employer

Name of Last Supervisor

Dates of Employment

From

Salary

From

Complete Address

Phone

Last Job Title

Reason for Leaving (be specific)

List the jobs held, duties performed, skills used and learned or promotions while you worked at this company

May we contact your employer:

Name of Employer

Name of Last Supervisor

Dates of Employment

From

Salary

From

Complete Address

Phone

Last Job Title

Reason for Leaving (be specific)

List the jobs held, duties performed, skills used and learned or promotions while you worked at this company

May we contact your employer:

Name of Employer

Name of Last Supervisor

Dates of Employment

From

Salary

From

Complete Address

Phone

Last Job Title

Reason for Leaving (be specific)

List the jobs held, duties performed, skills used and learned or promotions while you worked at this company

May we contact your employer:

Previous Cleaning Experience

Please list 2 references other than relatives and previous employers

Name

Position

Company

Telephone

Use the space to add any additional information to describe your qualifications for the position

By initialing in this block, I certify that all information on this application is true to the best of my knowledge and allow ServiceMaster Cleaning to call my references and previous employers for verification of employment. In addition, I give my permission to have ServiceMaster Cleaning perform a background check on acceptance of a job offer.

Yes

Full or Part-Time

Full Time

Part Time

Yes