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Apply online and join the J4k Cleaning Company Staff

Last Name: 
First Name: 
Middle Initial: 
Email Address: 
Address: 
City: 
State: 
Zip code: 
Social Security Number: 

Phone: (Including area code)

Age:
Position applied for: 
Please check your work schedule preference:
Full Time
Part Time
Either

Have you ever worked for J4K Cleaning?
(If yes, describe and include dates)

Yes No

Have you ever been convicted of a Felony?
(If yes, describe and include dates)

Yes No
Education Record
High School
 
School Name:

School Address:

Did you graduate?
Yes
No
College  
School Name:
School Address:
Did you graduate?
Yes
No
Course of Study:

Personal References
(Not related to you)

Name: 
Home Address: 
City, State, Zip: 
Phone: 
Job Title: 
Name of Business & Address: 
Name: 
Home Address: 
City, State, Zip:
Phone:
Job Title:
Name of Business & Address:
Employment Record
(Begin with your most recent employer)
Company Name:
Company Address:
City, State, Zip:
Phone:
From - To:
Supervisor:

Describe your job duties:

May we request a reference?
(If no, please explain why)
Yes No
Reason for leaving:
Company Name:
Company Address:
City, State, Zip:
Phone:
From - To:
Supervisor:

Describe your job duties:

May we request a reference?
(If no, please explain why)
Yes No
Reason for leaving:
Company Name:
Company Address:
City, State, Zip:
Phone:
From - To:
Supervisor:

Describe your job duties:

May we request a reference?
(If no, please explain why)
Yes No
Reason for leaving:
Have you ever been discharged or requested to resign?
(If yes, please explain why)
Yes No
I understand that J4K Cleaning Company may conduct investigations including a verification of employment history, volunteer work, education and references. By submitting this application, I authorize the company to make these investigations and I release and waiver my right to make any claims against third parties for anything they may say when complying or attempting to comply with such investigations. I am aware that false statements or failure to disclose information may disqualify me for employment, or if employed, may result in my dismissal. I also understand that employment (if offered) is for no definite period. If hired, I understand that I must provide required documents proving my identity and eligibility for employment.

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