Atlanta Sweeping by Corporate Commercial Sweeping, Inc

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Corporate Commercial Sweeping Inc. Application Form

Date
Name
Title
Street address line 1
Street address line 2
City
State
Zip code
Home Phone
Cell Phone
Email
Do you have a valid Georgia drivers license? (input yes or no)
On what date would you be available to work?
Desired wage/salary $
Position sought:
Are you available to work from 9pm - 7:30am five days a week? (input yes or no)
Are you a U.S. Citizen, or are authorized to work in the U.S. without any restriction? (input yes or no)
Have you ever been convicted of a felony? (input yes or no, if yes please describe your circumstances)
Have you ever been involuntarily asked to resign from any position of employment? (input yes or no, if yes please describe your circumstances)
In consideration for pre-employment can you produce the following documentation? (input yes or no for each)
Drug screening test
Three year motor vehicle report
Criminal background check

Education:
School name
Location
Years attended
Degree received
Major
Other training, certifications, or licenses held?

Have you served in the armed forces? (input yes or no, if yes what branch, how many years)
Did you receive an honorable discharge? (input yes or no, if yes list circumstances)

Employment:
Employer 1:
Job title/position:
Dates employed:
Supervisor: Phone #: Title:
Starting wage/salary:
Ending wage/salary:
Your duties:
Reason for leaving:

Employer 2:
Job title/position:
Dates employed:
Supervisor: Phone #: Title:
Starting wage/salary:
Ending wage/salary:
Your duties:
Reason for leaving:

Employer 3:
Job title/position:
Dates employed:
Supervisor: Phone #: Title:
Starting wage/salary:
Ending wage/salary:
Your duties:
Reason for leaving:

Employer 4:
Job title/position:
Dates employed:
Supervisor: Phone #: Title:
Starting wage/salary:
Ending wage/salary:
Your duties:
Reason for leaving:

ACKNOWLEDGMENT AND AUTHORIZATION I certify the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this is "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. Signature of applicant: (type name for signature acceptance) Date: ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS. References: Please provide us three references whom we may call upon as part of our pre-employment screening process.

Name:
How long have you known this person? years: months:
How do you know this person?
Phone number:

Name:
How long have you known this person? years: months:
How do you know this person?
Phone number:

Name:
How long have you known this person? years: months:
How do you know this person?
Phone number: