Claria Clean Job Application
Name *
First name, middle initial, last name
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Email *
Your answer
Phone number *
Your answer
Which position(s) are you interested in? *
Your answer
Desired Rate of Pay *
Your answer
Are you legally eligible for employment in this country? *
Do you have reliable transportation to and from work? *
What days of the week are you available to work? *
Required
What hours of the day are you available to work? Example: 5 to 9 pm (Note: If you have different hours on different days, please list what hours for what days you can work.) *
Your answer
What is your ideal start date? *
MM
/
DD
/
YYYY
Ideally, how many hours per week are you looking for? *
Your answer
Have you been convicted of a felony in the last 7 years? *
If yes, please explain *
Your answer
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