Applicant Information

Your Last Name
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First Name
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M.I.
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Social Security No
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Street Address
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Apartment/Unit#
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City
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  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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Zipcode
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Your Phone Number
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Your E-mail Address
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Date Available
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Desired Salary $
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  • - Position Applied For -
  • General Cleaner (5 PM to 1:30 AM)
  • General Cleaner (5 PM - 9 PM)
  • Day Porter (7 AM to 3:30 PM)
  • HR Manager (Full time)
- Position Applied For -
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Desired Status:
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Are you a citizen of the United States?
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If no, are you authorized to work in the U.S.?
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Have you ever worked for this company?
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If yes, when?
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Have you ever been convicted of a felony?
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If yes, explain:
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Education

High School (Institution Name & Location)
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Years Attended
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Graduated?
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Degree?
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College
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Years Attended
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Graduated?
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Degree?
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Other
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Years Attended
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Graduated?
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Degree?
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References (Please list three professional references)

Name:
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Title/Relationship
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Phone Number
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Name:
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Title/Relationship
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Phone Number
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Name:
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Title/Relationship
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Phone Number
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Previous Employment

Company
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Phone Number
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Job title
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Supervisor:
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From
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To
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Reason for leaving
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May we contact your previous supervisor for a reference?
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Military Service

Branch
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From
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To
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Rank at discharge
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To
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Type of discharge
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If other than honorable, explain
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Disclaimer and Signature

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 the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
I understand and agree that I may be required to have additional criminal background checks completed as well as be required to take a physical examination as a condition of employment. I agree to consent to take such test(s) at such time as designated by Spotless and to release Spotless, its directors, officers, agents or employees from any claim arising in connection with the use of such test(s).
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 terminated at any time without prior notice.
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Date of the agreement
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Remarks (for office use only)
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