Employment Application Information Employment Application Name * First Last * Last Email * Phone * Address * Line 1 Address Line 2 City * City State * State Zip Code * Zip Code Do you have a reliable source of transportation to and from work? * Yes No Do you have a valid driver’s license? * Yes No Gender Male Female Date of Birth * Are you a United States citizen? * Yes No If no, are you authorized to work in the U.S.? Yes No Date available to start work * Desired Salary * Have you ever been convicted of a crime, regardless of whether it was a felony or misdemeanor? * Yes No If yes, explain: Education High School * Address * From * To * Did you graduate? * Yes No College Address From To Did you graduate? Yes No Degree Other Address From To Did you graduate? Yes No Degree The essential functions of most jobs at Advance Cleaning require that employees lift frequently, bend and stoop frequently, and stand and/or walk for long periods of time. To the extent these functions may be applicable to the position for which you are applying; can you perform all of the above functions or perform all of the above functions with reasonable accommodation? Choose one * Yes No If no, please explain: Previous Employment Company Phone Address Supervisor Job Title Starting salary Ending salary Responsibilities From To Reason for leaving: May we contact your previous employer? Yes No Company Phone Address Supervisor Job Title Starting salary Ending salary Responsibilities From To Reason for leaving: May we contact your previous employer? Yes No Military Service Branch From To Rank at discharge Type of discharge If other than honorable, explain: Send
