Clean and Beyond General Application
Thank you for your interest in Clean and Beyond.  Please take a few minute to answer the following questions.  There are no right or wrong answers.  This may take 15 to 20 minutes.  Please make sure you finish and submit your answers all in one sitting. Your information will not be saved to come back to at a later time.  

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status or the presence of a non-job-related medical condition or handicap or any other legally protected status.
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Applicant ID
(office use only, leave blank)
Personal Information
First Name *
Last Name *
Main Contact Phone Number *
Note:  Please use this formate  555-555-5555
Email Address *
Physical Street Address *
Zip Code *
What position are you applying? *
(AM Cleaning Partner or PM Cleaning Partner)
How did you hear of this position? *
For Example: Mac's List, Craigslist, etc.  If you heard from a friend please provide their name.
What inspired you to apply to Clean and Beyond? *
Please be specific.
What are you looking for in a company? *
Are you currently employed? *
What days of the week are you available for a full 8 hour shift? *
Note: You must be available at least 3 days
Do you have a RELIABLE vehicle, VALID drivers license AND Insurance? *
Have you had any accidents, moving violations, or tickets in the past 5 years? *
If yes, please explain details of violation, ticket and/or accident(s) with dates, who was at fault, resolution, etc.
If hired are you willing to stay with our company 6 months or longer? *
Minimum Requirements
Are you legal to work in the US? *
Are you willing to not smoke on the job or while in company uniform? *
Are you willing to participate in a 60 day training and probationary period? *
Are you able to be on call from time to time? *
Have you ever been convicted of a crime?
If yes, this does not necessarily disqualify you from the position.
Clear selection
If yes, please describe circumstances:
Can you pass a drug screening test? *
Note: We conduct a drug screening prior to employment and monthly at random
Do you have any pre existing conditions or injuries that might prevent you from doing the job, lifting and meneuvering up to 35 lbs, and/or carrying weight on your back? *
Are you able to bend, reach, kneel, squat and be on your feet for long periods of time? *
Do you have a cell phone in good working order that you can use on the job with voice and text capabilities? *
Do you have access to the internet to view your schedule and messages on a daily basis? *
Do you have a bank account that we can use for direct deposit? *
If not, would you be willing to set one up prior to employment with Clean and Beyond?
Are you able to cover up visible tattoos or piercings? *
Are you allergic to (or NOT comfortable being around) common house pets such as dogs and cats? *
Did you graduate from High School? *
What was your graduation date? *
Note: If you received your GED enter the date you received your GED, if no graduation date please enter "n/a"
Describe any other schooling, certifications, licenses or skills you have related to this position:
Employment History
Have you ever been involuntarily terminated or asked to resign from any position of employment? *
If yes, please describe circumstances:
Most Recent Employer *
Employer Address, City and State *
Job Title *
Reporting Supervisor's Name *
Reporting Supervisor's Contact Phone Number *
Start Date of Employment *
End Date of Employment *
Starting Hourly Rate or Salary *
Ending Hourly Rate or Salary *
Reason for leaving *
Employer Address, City and State
Job Title
Reporting Supervisor's Name
Reporting Supervisor's Contact Phone Number
Start Date of Employment
End Date of Employment
Starting Hourly Rate or Salary
Ending Hourly Rate or Salary
Reason for leaving
Additional Comments
Any other comments that you would like to leave with us?
This is your opportunity to highlight your strengths and why you think you'd be a good fit for Clean and Beyond.  If you are applying in a team each person must fill out an online application.  Please list the other team member below.
By submitting this form, I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment
as may be necessary in arriving at an employment decision.
I hereby understand and acknowledge that, unless otherwise defined by applicable law,
any employment relationship with this organization is of an “at will” nature, which means
that the Employee may resign at any time and the Employer may discharge Employee
at any time with or without cause.  It is further understood that this “at will” employment
relationship may not be changed by any written document or by conduct unless such
change is specifically acknowledged in writing by an authorized executive of this
In the event of employment, I understand that false or misleading information given in
my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the employer.
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