Cleaning Application – On The Mark Companies

Name *

First

Last

Address (City and State, please) *

Date of Birth *

Phone Number *

Email

Date Available to Start *

Education (include name of school) *

Please enter the highest level of education achieved: HS Diploma/equivalent, some college, etc.

Experience *

Please identify prior experience that is relevant to this position, such as: Professional Cleaning, Janitorial, etc. Additionally, please state years of experience in each area.

Type of Employment Desired (please enter "Full", "Part", "Any", or number of hours preferred) *

Days Available to Work *

The hours for this position are 11am - 3pm each day. Please specify which days you are available to work.

Current/Most Recent Employer (include dates of employment) *

Previous Employer (include dates of employment) *

If none, please enter "none."

Third-previous Employer (include dates of employment)

Additional employer information is preferred but not required. If none, please enter "none."

Professional Reference #1 Name and Phone Number *

Professional Reference #2 Name and Phone Number

A second professional reference is preferred, but optional

I am a US Citizen
I am 18 years or older
I am legally permitted to work in the US

Do you have any health restrictions? Please briefly specify if you do.

Have you ever pleaded "guilty", "no contest", or been convicted of a felony? *

Answering "yes" DOES NOT exclude you from employability.

Additional Information *

Please briefly state why you would be a positive addition to our company.