Application for Employment

If you are interested in becoming a member of our team, you may complete and submit this application online. Please respond to every section of this form.

We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis.

Drop A Line



First name :    M.I :    Last name :

Address :

Email Address :    Home Phone :

Best time to contact you :
Best day to contact you :


Are you presently employed?   Yes   No

Please list below your last three employers, starting with your present or last place of employment. When responding to "Dates Employed" use the format " mm/yy to mm/yy" as in the example below. Except for Dates Employed, you may enter more information than what the space appears to allow for under each heading.

Dates Employed
(example: 08/07 to 11/09)
Name and Address of Employer Salary Position or
Job Title
Briefly describe
your job duties
What was your reason
for leaving?

Educational background:  *Please input the highest level achieved

Do you have a current valid driver's license?
Yes   No
Do you have your own vehicle?  
Yes   No
Is it insured?  
Yes   No
Can you provide verification of your legal right to work in the United States?  
Yes   No
Are you able to lift 50 pounds or more?  
Yes   No
Would you have difficulty standing, bending or kneeling in connection with performing the necessary cleaning duties?
Yes   No
Have you ever been convicted of a criminal offense?
Yes   No

Due to the security-sensitive nature of the job, all employees are required to be bonded. As a matter of policy, the company conducts a police background and driving record check on any applicant in consideration of hiring.

If there is anything you would like to add, please make your comments in the box below:

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