Employment Application Employment Application Step 1 of 4 25% Name* First Last Email* Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applying for which position:* Residential Cleaning Technician Exterior Cleaning Technician Are you available to work Monday- Friday?* Yes No Are you available to work between the hours of 8:00 am-5:00 pm?* Yes No Do you have a valid driver's license?* Yes No Are you able to perform typical tasks associated with cleaning duties? (standing, bending, kneeling, and lifting up to 50 pounds)* Yes No Employment History 1*(Please include names and addresses of your last three employers, dates employed, salary, position and duties, and reason for leaving)Employment History 2Employment History 3Educational History*(List school name, location, years completed, course of study, and any degrees earned)Other Skills and Qualifications(List any job related training, other languages, skills, licenses, certifications, and/or other qualifications) Personal References (List 3)*(List reference names, telephone numbers, years known, and relationship)Agree to Applications Terms:*In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history. I understand that prior to employment that you will conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I understand and agree that, if employed, I will be responsible for familiarizing myself with all rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time. I have read and agree with the terms above Before you hit submit read this! When you are finished with the questions please hit submit. You will be directed to another page for further instructions.* I will look for further instructions on the next page