Careers & Application | ClarityClean

Applicant information

First name *

Middle initial *

Last name *

Suffix

Application date *

Street address *

Street address line 2

City *

State / province *

Postal / ZIP code *

Country *

Daytime phone *

Area code *

Phone number *

Email *

Additional information

Can you provide proof that you can be lawfully employed in the U.S.? * Yes No

Criminal history information

Birth date *

Place of birth (city, state) *

Are you currently under charges for any violation of law? * Yes No

During the last 5 years, have you been fired from a job for any reason, did you quit after being told you would be fired, did you leave any job by mutual agreement because of specific problems, or were you debarred from employment by any Federal agency? * Yes No

Does your criminal record include any convictions, guilty pleas, jail or prison time? * Yes No

Referred by

Do you know anyone employed at ClarityClean? First name

Last name

Do you have a valid driver’s license? * Yes No

Emergency contact name *

Emergency contact phone number *

Area code *

Phone number *

Relationship to emergency contact *

Work availability

Date you are available to work *

Wage desired

How many hours per night?

Per week?

What position are you applying for? * Cleaner Floater Supervisor

Have you ever applied to ClarityClean before? * Yes No

Education & experience

High school

School name

Location

Years completed

GED

GED status

School / program

Location

Year completed

College

School name

Location

Years completed

Trade / business school

School name

Location

Years completed

Postgraduate

School name

Location

Years completed

Military service — dates of service, training, honors

Janitorial industry experience

WORK HISTORY / EXPERIENCE

List your employers, beginning with the most recent or current employer. All work-experience fields are required. Add more entries below if needed.

Work experience (most recent)

Employer’s name *

Position held *

Wage / salary *

Duties *

Reason for departure *

Supervisor’s name and telephone number *

Start – end date (month / year) *

May we contact this employer? * Yes No

Work experience 2

Employer’s name *

Position held *

Wage / salary *

Duties *

Reason for departure *

Supervisor’s name and telephone number *

Start – end date (month / year) *

May we contact this employer? Yes No

Work experience 3

Employer’s name *

Position held *

Wage / salary *

Duties *

Reason for departure *

Supervisor’s name and telephone number *

Start – end date (month / year) *

May we contact this employer? Yes No

REFERENCES

List the names and phone numbers of three individuals not related to you who know your character. Obtain their permission before sharing their contact details.

Reference (1) name *

Reference (1) telephone *

Area code *

Phone number *

Reference (2) name *

Reference (2) telephone *

Area code *

Phone number *

Reference (3) name *

Reference (3) telephone *

Area code *

Phone number *

Resume (optional)

PDF, DOC, or DOCX • Maximum 3 MB.

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Applicant acknowledgment

I hereby affirm that the information provided in this application, accompanying letter or resume is true and complete. I authorize investigation of all statements contained in this application, including contacting past employers regarding work record. I release and hold harmless and promise not to claim damages from any of the prior employers listed above who have provided information. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without previous notice. I agree to submit to any drug and/or alcohol testing that may be required by my employer for my hire or continued employment. I understand that the refusal to take such tests may be cause for denial or termination of employment. I also understand that if I agree to take these tests and fail to pass these tests, I may be held responsible for the out-of-pocket costs for these tests. I also understand that employment may be conditional upon an investigation into my criminal conviction on record with local, state, or federal law enforcement authorities. I understand that this application is not a contract.

Signature — type your full name *

By submitting an application for this job, I agree to receive text messages from ClarityClean Residential & Commercial Services to schedule an interview. You may opt out at any time. Msg & data rates may apply.

Job Application

Applicant information

Additional information

Criminal history information

Work availability

Education & experience

WORK HISTORY / EXPERIENCE

REFERENCES

Resume (optional)

Applicant acknowledgment

Thank you for applying.

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