Job Opportunities

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Personal Information:

Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Date of Birth

Position You Are Applying For

Referral Source

Have you ever been convicted of or charged with a felony or misdemeanor?*

Yes

If you answered “yes” above, please explain details in full, including dates, details of offense(s) charged, jurisdiction and disposition of case:

Have you, or any person or entity with whom you have been associated with, filed for bankruptcy, been declared bankrupt or insolvent or been the subject of any receivership proceedings within the last 7 years?

Yes

If you answered “yes” above, please provide full details, including dates, places, amounts involved and disposition:*

Education

Please list all the high schools and colleges you have attended and the number of years you attended each. After each school, note whether you graduated or not.

What degrees have you earned (from the schools listed above)? List each degree and from whom you received that degree.

Employment/Work Experience

Start with your present or most recent position. Include military service assignments and volunteer activities. Exclude organization names that indicate race, color, religion, sex or national origin.

Employer 1

Job Title

Supervisor’s Name

Employer’s Phone

Employer Address

Describe Duties/Responsibilities/Accomplishments

Reason for Leaving

Dates of Employment (mm/dd/yyyy)

Start Date

Dates of Employment (mm/dd/yyyy)

End Date

Employer Info 2

Employer 2

Job Title

Supervisor’s Name

Employer’s 2 Phone

Employer 2 Address

Describe Duties/Responsibilities/Accomplishments

Reason for Leaving

Dates of Employment (mm/dd/yyyy)

Start Date

Dates of Employment (mm/dd/yyyy)

End Date

Employer Info 3

Employer 3

Job Title

Supervisor’s Name

Employer’s 3 Phone

Employer 3 Address

Describe Duties/Responsibilities/Accomplishments

Dates of Employment (mm/dd/yyyy)

Start Date

Dates of Employment (mm/dd/yyyy)

End Date

Personal References

Please provide names, addresses, phone numbers, relationship and how long known for 3 personal references.

Name

Relationship

Address

Phone

Personal References 2

Name

Relationship

Address

Phone

Personal References 3

Name

Relationship

Address

Phone

Special Skills

Describe any special skills or qualifications for this work:

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Call (864) 277-3538

info@summitjanitorial.com

Personal Information:

Education

Employment/Work Experience

Employer Info 2

Employer Info 3

Personal References

Personal References 2

Personal References 3

Special Skills

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