Employment Applicaton - English

Fields marked with an * are required.

First Name*

Last Name*

Address 1

Address 2

Last City*

Zip / Post Code

Last Phone*

Last Email*

Referred By

Experience Level

How Many Days Can You Work

When Can You Start

How Many Hours Per Night?

Desired Position


High School Name

High School Graduation Year

Did You Attend College?

Employment History

Current Employer

Current City

Supervisor's Name


How Long at this Position?

Previous Employer

Supervisor's Name


Start Date

End Date

Previous Employer's Address

Previous Employer's Phone

Are You Eligible to Work in the United States?

Have You Ever Been Convicted of a Felony?

If Yes, Please Explain Offense

By submitting this form you are agreeing to the following statement:

I understand that Secure Clean Building Services, Inc. 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 of time and I will considered an at-will employee.

If hired, I understand that I must provide required documents proving my identity and eligibility for employment.

By clicking the submit button you are accepting the terms to the application and are ware that it is the equivalent of a written signature.

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