Application for Employment



First Name:


Middle Name:


Last Name:


Address (Number & Street):


Position Sought:


Date Available:


Salary Desired:


Home Phone:


Cell Phone:


Email:


Social Security Number:


Are you over 18?:


Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility.):



Education

High School: Number of Years Completed


Diploma


G.E.D.


School(s):


City:     


State:


College and/or Vocational School Number of Years Completed:


School(s):


City:     


State:


Major:     


Degrees Earned:     


Other Training or Degrees:

School(s):


City:     


State:


Course Name:


Degree or Certificate Earned:





PROFESSIONAL LICENSE OR MEMBERSHIP:
(You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)

Type of License Held:


State License Number:





RECORD OF CONVICTION:
(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered).

Have you ever been convicted of a crime other than minor traffic offense?


If yes, explain:     





EMPLOYMENT:
List last employer first, including U.S. Military Service.

May we contact your present employer?


If employment was under a different name indicate name:





Employer


Address


Telephone


Position


Dates of Employment From:

To:


Salary


Supervisor


Department


Duties


FT or PT?


Reason for leaving





Employer


Address


Telephone


Position


Dates of Employment From:

To:


Salary


Supervisor


Department


Duties


FT or PT?


Reason for leaving





Employer


Address


Telephone


Position


Dates of Employment From:

To:


Salary


Supervisor


Department


Duties


FT or PT?


Reason for leaving


If you wish to describe additional work experience fill out our application multiple times.

Explain any gaps in work history:     


Have you ever been discharged or asked to resign from a job?


If yes, explain:





REFERENCES:

Name:


Company:


Was this person your direct supervisor?


Phone:





Name:


Company:


Was this person your direct supervisor?


Phone:





Name:


Company:


Was this person your direct supervisor?


Phone:





Upload your resume:






APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Bealís Janitorial Service to verify their accuracy and to obtain reference information on my work performance. I hereby release Bealís Janitorial Service from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I realize that in the course of seeking employment through Bealís Janitorial Service. an investigation of my qualifications for employment may be performed which may include, but is not limited to, a credit check, verification of any or all degrees or certification, drug or other similar tests, or pursuance of a security clearance. I attest to the accuracy of all information in the resume/application submitted to you and hereby authorize Bealís Janitorial Service. or any of its subsidiaries and affiliates and/or its clients to check any and all references and to complete appropriate background checking and release all parties from any liabilities which may arise in the normal course of reference or background checks. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Checking this box constitutes an electronic signature


Date Signed:


Type name:










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