Digital Job Application

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications. Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may email a résumé to Hrdept@cleanconnect360.com after submitting , but all questions must be answered.

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Name
Do you have a high school diploma or GED?
Hours
Check all that you are willing to work
Time
Check all that you are willing to work
Status
Check all that you are willing to work
Extras
Check all that you are willing to work
Are you authorized to work in the U.S. on an unrestricted basis?
Have you ever done office cleaning before?
Have you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job?
Can you perform these essential functions of the job with or without reasonable accomodation?

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges,
degrees, vocational or technical programs, and military training.

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc
Reference 1 Name
Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three
professional references, then list personal, unrelated references.
Reference 2 Name
Reference 3 Name

Work History: Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)
May we contact your present employer?

Type your full name to sign

MM/DD/YY