Manten Limpio Impresione Se Orgulloso

Manten Limpio – Impresione – Se Orgulloso

Clean It – Impress – Be Proud

Cleen Trax Maintenance Inc. Employment Application

Applicant Information

Full Name: / Date:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
Phone: / () / E-mail Address:
Date Available: / Desired Salary: / $
Position Applied for: / Referred by:
Are you legally authorized to work in the United States? / YES / NO
Have you ever worked for Cleen Trax Maintenance, Inc.? / YES / NO / If yes, when?
Have you ever been convicted of a felony (a criminal record does not constitute an automatic bar to employment and will be considered only as it relates to the job in question)? / YES / NO
If yes, explain:

Education

High School: / Address:
No. Years Completed / Did you graduate? / YES / NO
College: / Address:
No. Years Completed / Did you graduate? / YES / NO / Degree:
Other: / Address:
No. Years Completed / Did you graduate? / YES / NO / Degree:

References

May we contact your most recent supervisor for a reference? / YES / NO
Please list three professional references.
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:
Full Name: / Relationship:
Company: / Phone: / ()
Address:

Previous Employment (Most Recent Employer Listed First)

Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:
Company: / Phone: / ()
Address: / Supervisor:
Job Title: / Starting Salary: / $ / Ending Salary: / $
Responsibilities:
From: / To: / Reason for Leaving:

Specialized Training

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or our organization:
______

EEO Statement

Cleen Trax Maintenance, Inc. is an equal opportunity employer and fully subscribes to the principles of Equal Employment Opportunity. As such, Cleen Trax Maintenance, Inc.intends to comply fully with all federal, state and local laws and the information requested on this application will not be used for any purpose prohibited by law. Disabled applicants may request any needed accommodation.

Disclaimer and Signature

I CERTIFY that the answers given by me to the above questions and statements are true and correct and authorize you to contact references, past or present employers, persons, schools, law enforcement agencies and any other sources of information which may be relevant to my application for employment. It is understood and agreed that any misrepresentation, false statement, or omissions by me in this Application will be sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to Cleen Trax Maintenance, Inc.
I further understand that no representative of the Company has the authority to enter into any agreement for employment for any specified period of time and that Cleen Trax Maintenance, Inc.is not guaranteeing employment for anyone. No employment contract is created by virtue of being hired by Cleen Trax Maintenance, Inc., and, if hired, my employment will be “at-will” and may be terminated at any time without prior notice.
I also understand that the Company benefits and rules and regulations may be changed, modified, deleted or added to by the Company at any time at the Company’s sole option and without prior notice. Further, if hired, I understand that I will be required to comply with all Company rules and regulations.
I understand that this application will be considered by Cleen Trax Maintenance Inc. for 60days. After 60 days, if I am interested in a position with Cleen Trax Maintenance, Inc., it will be necessary for me to complete a new application.
Signature: / Date: