HONOLULU COMMERCIAL CLEANING Employment Application Form v.08-2024
We are an Equal Opportunity Employer and we are committed to excellence through Diversity, Equity, & Inclusion.
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Personal Information
Please type or select your answers. Fill in each section to the best of your ability.
First Name *
Middle Name: (Please type N/A if you do not have one) *
Last Name *
Are you authorized to work in the United States of America? *
Date of Birth *
MM
/
DD
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YYYY
Are you younger than 18 years old? *
If Yes, do you have a worker permit? *
Physical Address, City and, Zip Code *
Mobile Number *
Secondary Phone Number
Email Address *
In case of an Emergency, please provide a contacts Full name (John Doe), Relationship (Parent, Sibling, Spouse), and Phone Number (xxx-xxx-xxxx) *
Personal Experience
Please type or select your answers. Fill in each section to the best of your ability.
Highest level of education completed: *
Please list your three most recent jobs (including babysitting, lawn care, volunteer work): *
Do you have any cleaning experience? Please specify. *
REFERENCES (Please List: Name, Title, Company, Contact Phone Number): *
Work Experience #1
Please fill out the following fields to the best of your ability.
Previous Employer #1: Name *
Previous Employer #1: Contact Phone Number
 *
Previous Job #1 Title and Description
 *
How long were you employed?
 *
Previous Employer #1: Starting Pay Rate
 *
Reason for leaving Employer #1: *
Work Experience #2
Please fill out the following fields to the best of your ability.
Previous Employer #2: Name
 *
Previous Employer #2: Contact Phone Number
 *
Previous Job #2 Title and Description
 *
How long were you employed?
 *
Previous Employer #2: Starting Pay Rate
 *
Reason for leaving Employer #2:
 *
Availability and Screening
Please type or select your answers. Fill in each section to the best of your ability.
What position are you applying for ? *
What is your availability? (Select all that apply) *
Required
When are you available to start? *
MM
/
DD
/
YYYY
If selected, are you willing to submit to a pre-employment drug screening? *
Expected Pay Rate *
Where did you hear about us? *
Acknowledgement
Please type or select your answers. Fill in each section to the best of your ability.
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *
By signing below, I confirm that all my responses are accurate and comprehensive to the best of my understanding. Should my application result in employment, I am fully aware that providing deceptive or incorrect information during the application process may lead to my immediate dismissal. Please type your FULL (First, Middle, Last) name below.
 *
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