Sundown Janitorial Employment Application
Last Name *
Your answer
First Name *
Your answer
Middle Initial
Your answer
Social Security Number *
Please write it in the form of: XXX-XX-XXXX
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Position Applied For *
Your answer
Date Available *
MM
/
DD
/
YYYY
Hours Available *
Your answer
Status Desired *
Required
Are you able to perform the essential job functions of the position you are applying for with or without reasonable accommodations? *
If hired, will you be able to work overtime? *
Are you at least 18 years of age? *
If under 18, do you have a work permit?
Criminal Background *
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged, or sealed by the court? A yes response does not automatically disqualify your application. If yes, please explain
**If you answered YES to the above question, please explain:
Your answer
EDUCATION INFORMATION
High School Name
Your answer
High School address
Your answer
High School Major studies
Your answer
High School Degree, Diploma, License, or Certification
Your answer
Vocation/Business/Other School Name
Your answer
Vocation/Business/Other School Address
Your answer
Vocation/Business/Other Major studies
Your answer
Vocation/Business/Other Degree, Diploma, License, or Certification
Your answer
College/University #1 Name
Your answer
College/University #1 Address
Your answer
College/University #1 Major Studies
Your answer
College/University #1 Degree, Diploma, License, or Certification
Your answer
College/University #2 Name
Your answer
College/University #2 Address
Your answer
College/University #2 Major Studies
Your answer
College/University #2 Degree, Diploma, License, or Certification
Your answer
Graduate School Name
Your answer
Graduate School Address
Your answer
Graduate School Major Studies
Your answer
Graduate School Degree, Diploma, License, or Certification
Your answer
Other special knowledge, skills, qualifications
list any construction or manufacturing equipment, office skills, technical equipment, or training
Your answer
Military Service
List dates, ranks, and training
Your answer
For Clerical Applications Only
Do you type?
If you answered YES to being able to type, tell us your words per minute
Your answer
Please list your computer skills
Your answer
EMPLOYER #1
Tell us about your most recent employment
Employer #1 Name
Your answer
Employer #1 Address
Your answer
Employer #1 Supervisor
Your answer
Employer #1 Supervisor's phone
Your answer
Employment #1 start date
MM
/
DD
/
YYYY
Employer #1 end date
MM
/
DD
/
YYYY
Employer #1 Job Duties/Responsibilities
Your answer
Employer #1 Reason for Leaving
Your answer
Employer #1 Starting Salary
Your answer
Employer #1 Ending Salary
Your answer
MAY WE CONTACT THIS EMPLOYER (#1) FOR A REFERENCE? *
EMPLOYER #2
Tell us about your next most recent employment
Employer #2 Name
Your answer
Employer #2 Address
Your answer
Employer #2 Supervisor
Your answer
Employer #2 Supervisor's phone
Your answer
Employer #2 Start Date
MM
/
DD
/
YYYY
Employer #2 End date
MM
/
DD
/
YYYY
Employer #2 Job Duties/Responsibilities
Your answer
Employer #2 Reason for Leaving
Your answer
Employer #2 Starting Salary
Your answer
Employer #2 Ending Salary
Your answer
MAY WE CONTACT THIS EMPLOYER (#2) FOR A REFERENCE? *
EMPLOYER #3
And tell us about your 3rd most recent employment
Employer #3 Name
Your answer
Employer #3 Address
Your answer
Employer #3 Supervisor
Your answer
Employer #3 Supervisor's Phone
Your answer
Employer #3 Start Date
MM
/
DD
/
YYYY
Employer #3 End Date
MM
/
DD
/
YYYY
Employer #3 Job Duties/Responsibilities
Your answer
Employer #3 Reason for Leaving
Your answer
Employer #3 Starting Salary
Your answer
Employer #3 Ending Salary
Your answer
MAY WE CONTACT THIS EMPLOYER (#3) FOR A REFERENCE? *
OTHER INFORMATION
Volunteer activities
List organizations, type of service, dates
Your answer
Hobbies, Interests
(optional)
Your answer
CERTIFICATION AND AUTHORIZATION
By entering my name below, I electronically certify that the above information is true and correct.

I authorize the Company to inquire into my education past employment history, and references, as needed to research my qualification for this position.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for the completion of Form I-9.

I hereby acknowledge that I have read and agree to the above statements.

Electronic Signature *
enter your first and last name
Your answer
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