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PHONE: 615-295-4845 | EMAIL: INFO@CLARKESCLEANING.COM
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Employment Application
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Position applied for:
*
Name
*
First
Last
Address
*
Street Address
Apartment or Suite Number
City
State
Zip Code
Social Security Number
*
Phone Number
*
Email Address
*
Are you at least 18 years of age?
*
Yes
No
Have you been employed by Clarke's Cleaning, LLC before?
*
Yes
No
Are you able to lift over 25 pounds?
*
Yes
No
Are you currently employed?
*
Yes
No
May we contact your current employer (if applicable)?
Yes
No
Date you are soonest available to work:
*
Are you able to work full-time, part-time, or temporary?
*
Full Time
Part Time
Temporary
Days and times you are available to work:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Have you ever been convicted of a felony?
*
Yes
No
If yes, please provide details:
Are you a Military Veteran?
*
Yes
No
If yes, what branch?
***EQUAL OPPORTUNITY EMPLOYER*** Are you prevented from lawfully becoming employed in the United States because of Visa or Immigration Status?
*
Yes
No
Do you have dependable transportation?
*
Yes
No
High School Graduate or GED?
*
Yes
No
College Degree?
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Yes
No
Previous employment - most recent: (if not applicable, write NONE)
*
Employer Name
Start Date - End Date
Supervisor's Name
Phone Number
Previous employment - 2nd most recent: (if not applicable, write NONE)
*
Employer Name
Start Date - End Date
Supervisor's Name
Phone Number
Previous employment - 3rd most recent: (if not applicable, write NONE)
*
Employer Name
Start Date - End Date
Supervisor's Name
Phone Number
Reference checks will be conducted legally in an ethical manner and all information derived will remain confidential. Please provide details of three (3) people who can speak on your behalf regarding your work history. First reference:
*
Name (1st reference)
Contact Number (1st reference)
Relationship (1st reference)
Second reference:
*
Name (2nd reference)
Contact Number (2nd reference)
Relationship (2nd reference)
Third reference:
*
Name (3rd reference)
Contact Number (3rd reference)
Relationship (3rd reference)
Emergency Contact:
*
Name
Relationship
Phone Number
Please provide any other information that you identify as being pertinent to this application (eg medical conditions, disabilities).
I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of employment with this organization. I understand that this application does not constitute an offer of employment. I understand that, in some cases, background and credit checks will be required and I will be notified if this applies to this application.
*
I agree
Checking this box is equivalent to signing your name and date at the bottom of a paper application.
Submit My Application
