Employment Application

If you are interested in becoming a member of our team, you may complete and submit this application online. Please respond to every section of this form. The information will be transmitted in confidence to A.M. Cleaning Service office in your town. We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis.

Step 1 of 4

General Information
Name*
First Last
Email*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How long have you lived at current address?*
- Less than 3 years
- More than 3 years
Prior Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Best Time to Contact*
Best Day to Contact*

Work Experience
Are you presently employed?*
- Yes
- No
Which of the following categories of jobs have you had? Check each job category that you’ve worked at:*
If Other, please explain:*
Please list below your last three employers, starting with your present or last place of employment
Employer 1
Employer Name*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates Employed*
Salary*
Job Title*
Briefly describe your duties*
Reason for leaving*
Employer 2
Employer Name*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates Employed*
Salary*
Job Title*
Briefly describe your duties*
Reason for leaving*
Employer 3
Employer Name*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Dates Employed*
Salary*
Job Title*
Briefly describe your duties*
Reason for leaving*

Education
Educational background:*
* Please select the highest level achieved
Elegibility
Do you have a current valid driver’s license?*
- Yes
- No
Do you have your own vehicle?*
Is it insured?*
* We will require proof of comprehensive liability insurance
Can you provide verification of your right to work in the US?*
*We will obtain your Social Security Number at the time of your personal interview and ask for verification of your legal work status and completion of the I-9 form no later than 3 business days after hire.
Are you able to lift 50 pounds or more?*
Would you have difficulty standing, bending or kneeling in connection with performing necessary cleaning duties?*
Have you ever been convicted of a criminal offense?*
Due to the security-sensitive nature of the job, all employees are required to be bonded. As a matter of policy, A.M. Cleaning conducts a criminal background and driving record check on any applicant in consideration of hiring.
Additional Comments
If there is anything you would like to add, please make your comments in the box above.

APPLICANT'S STATEMENT
In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history. I understand that prior to employment that A.M. Cleaning will conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I understand and agree that, if employed, I will be responsible for familiarizing myself with all the rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.
I have read, understand and agree with the above

Employment Application

Step 1 of 4

General Information

Work Experience

Please list below your last three employers, starting with your present or last place of employment

Education

Elegibility

APPLICANT'S STATEMENT