Join Our Team - EVERCLEAR CLEANING SERVICES

Personal Information

First Name *

Last Name *

Street Address *

Apartment/Suite/Unit

City *

State *

Zip Code *

Email Address *

Cell Phone *

Social Security Number *

Are you legally authorized to work in the United States? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain.

Are you willing to undergo a complete and thorough Background Check? *

Yes

No

Preferred method of contact?: *

Call me

Text me

Email me

When is the best time to contact you? *

Reference

Name *

Title/Relation *

Email Address *

Phone *

Employment History

Company Name *

Address *

Phone *

Start Date (Month & Year) *

End Date (Month & Year) *

Position *

Salary/Hourly Wage *

Reason for Leaving *

May we contact? *

Yes

No

Supervisor/Manager

Job Related Skills & Physical Requirements

Are you able to walk, stand, and move on your own throughout an 8-Hour shift? *

Yes

No (please explain): No (please explain):

Are you able to repeatedly lift 25 lbs to a chest-high level throughout an 8-Hour shift? *

Yes

No (please explain): No (please explain):

Are you able to repeatedly bend, twist, push, and pull throughout an 8-Hour shift? *

Yes

No (please explain): No (please explain):

Please rate your English-Language skills *

Fair

Good

Excellent

None / I do not speak English

Languages spoken other than English:

I am available to work in the following areas *

Bend

Sisters

Redmond

Do you have internet access available? *

Yes

No

If the job requires, do you have an appropriate driver's license? *

Yes

No

Driver’s License Info: Please provide license # and State of Issue. (If no license, please state that.) *

Do you have reliable all weather transportation? *

Yes

No

If yes, what type? *

Availability

Position Applying For: *

Shift preference: *

Days

Evenings

Overnight

Which categories are you available to work? *

Full-time

Part-time

Days Available to Work *

Are you 18 or older? *

Yes

No

What date can you start? * +

Desired Starting Wage per hour? *

How did you hear about this job? *

Employee Authorization and Certification

I hereby certify that my answers outlined in this Employment Application are true and complete to the best of my knowledge. I hereby authorize this company to investigate any aspect of my prior employment history as well as investigative reporting into my background involving criminal charges, driving records, and court information.
If I am employed, I understand that any false statements on this application and resume shall be considered sufficient cause for my dismissal. Furthermore, I understand that if I am hired, employment with this company is "at will," which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.

Signature *

clear

Name *

Date * +