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 *

Home Phone

Social Security Number *

Pronoun Preferences: *

He/Him/His

She/Her/Hers

Other (please specify) Other (please specify)

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.

Have you ever applied to work with us before now? *

Yes

No

If you have applied with us before, when was that?

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

Yes

No

Preferred method of contact?: *

Call me

Text me

Email me

No Preference

When is the best time to contact you? *

Current COVID Vaccination Status *

Current COVID Vaccination Status: *

I am fully vaccinated against the COVID virus

I have received my 1st dose of either the Pfizer or Moderna vaccine

I have received my 1st AND 2nd dose of either the Pfizer or Moderna vaccine

I am claiming either a Medical or Religious Exemption

I choose not to get vaccinated for reasons of my own

I understand that documentation may be required for my selection, and I am willing and able to provide it. *

I understand and agree to this requirement.

References

Reference 1

Name *

Title/Relation *

Email Address *

Phone *

Reference 2

Name

Title/Relation

Email Address

Phone

Employment History

Employer 1

Company Name *

Address *

Phone *

Start Date (Month & Year) *

End Date (Month & Year) *

Position *

Salary/Hourly Wage *

Responsibilities *

Reason for Leaving *

May we contact? *

Yes

No

Supervisor/Manager

Employer 2

Company Name *

Address *

Phone

Start Date (Month & Year) *

End Date (Month & Year) *

Position *

Salary/Hourly Wage

Responsibilities *

Reason for Leaving

May we contact?

Yes

No

Supervisor/Manager

Employer 3

Company Name

Address

Phone

Start Date (Month & Year)

End Date (Month & Year)

Position

Salary/Hourly Wage

Responsibilities

Reason for Leaving

May we contact?

Yes

No

Supervisor/Manager

Education

Highschool

Highschool Name

Address

Did you graduate? *

Yes

No

If you did not graduate, did you get your GED?

Special honors or rewards

Other Education: College/University, Technical or Vocational

Other College Name

Address

Did you graduate?

Yes

No

Degree

Specialty

Armed Services

Were you enlisted in the armed services? *

Yes

No

If yes, were you Dishonorably discharged?

Yes

No

If Yes, which branch?

Job Related Skills & Physical Requirements

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

Yes

No

Other (please explain): Other (please explain):

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

Yes

No

Other (please explain): Other (please explain):

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

Yes

No

Other (please explain): Other (please explain):

Please rate your oral English-Language skills *

Fair

Good

Excellent

None / I do not speak English

Please rate your written 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

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 and assertions set forth in this Everclear Cleaning Services Employment Application are true and complete to the best of my knowledge. I hereby authorize this company to investigate any aspect of my prior educational and employment history as well as investigative reporting into my background involving criminal charges, driving record and court information.
If I am employed, I understand that any false statements on this application and resume, if included, 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 *

Other names known by

Date * +