DAZZLE CLEAN PROFESSIONAL CLEANERS - Employment Application
Please fill out all required fields.
Full Name
Last, First, Middle
Your answer
Date of Birth (optional)
MO/DA/YEAR
Your answer
E-mail Adrress:
ex. xxx@xxx.xxx
Your answer
Social Security Number
ex. xxx-xx-xxxx
Your answer
Date of Application
xx/xx/xx
MM
/
DD
/
YYYY
Present Address
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Telephone
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If under 18, please list current age:
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Position applied for
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Salary desired
Please be specific.
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Days available
Required
How many hours can you work weekly?
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Can you work evenings?
Required
Employment desired
Educational History
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Your answer
Have you ever been convicted of a crime? (Misdemeanor, DUI, Traffic ticket, Assault, Theft, Drug possession, etc)
(Misdemeanor, DUI, Traffic ticket, Assault, etc)
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
Do you speak Spanish?
Please check any skills you have.
Required
References
Please list one reference other than relatives or friends. NO RELATIVES, NO FRIENDS. Ex. Co-workers
Your answer
References
Please list one reference other than relatives or friends. NO RELATIVES, NO FRIENDS. Ex. Co-workers
Your answer
Do you have a driver's license?
What is your means of transportation to work?
Your answer
License number
Your answer
State of issue
Your answer
License Type
Accident History
Please list any accidents or moving violations within the past three years.
Your answer
Work Experience
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Your answer
Work Experience
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Your answer
Work Experience
Please provide a list of work experience from most recent to least recent for the last 5 years. Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Your answer
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
Your answer
May we contact your current employer?
Did you complete this application yourself?
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