APPLICATION FOR EMPLOYMENT

Heavenly Touched Janitorial Services is an Equal Opportunity Employer, and we consider all applicants for employment without regard to race, color, sex, religion, age, national origin, disability, veteran status, genetic, sexual orientation or any other basis as prohibited by federal, state or local law. Heavenly Touched Janitorial Services is committed to complying with the American with Disabilities Act (ADA) and as amended by the Americans with Disabilities Act Amendments Act (ADAAA). If you require reasonable accommodations to apply for or to complete an application for employment, or to perform the essential functions of the job for which you are applying due to a disability, please notify us of your specific needs for a reasonable accommodation so that we can properly assist you.

First Name

Social Security #

Email Address

Date you are available to start?

Middle Initial

Address

Are you legally eligible to work in the U.S.?

Yes

Last Name

Phone Number

Do you have a valid driver's license?

Yes

WORK HISTORY/EXPERIENCE

Employer’s Name (MOST CURRENT)

Phone Number

Start Date

Tell us about any cleaning experiece or skills you may have.

Address

Position Held

End Date

Supervisor's Name

Duties Performed

Reason for leaving

May we contact this employer?

Yes

References

We DO NOT consider OR interview anyone who cannot provide references, NO FAMILY MEMBERS.

Reference (1)

Reference (2)

Phone

Relationship

False information will cause removal from our registry and system. I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if Heavenly Touched Janitorial Services LLC at anytime learns of falsification or material omission in the information provided on this application form and related documents. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Heavenly Touched Janitorial Services LLC, its affiliates, successors and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Heavenly Touched Janitorial Services LLC policies, rules, and procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me.

YOUR CLEANING PROCESS

THIS SECTION IS OPTIONAL, HOWEVER IT WILL AID US IN OUR HIRING PROCESS.

APPLICATION FOR EMPLOYMENT

WORK HISTORY/EXPERIENCE

References

We DO NOT consider OR interview anyone who cannot provide references, NO FAMILY MEMBERS.

YOUR CLEANING PROCESS

THIS SECTION IS OPTIONAL, HOWEVER IT WILL AID US IN OUR HIRING PROCESS.

(PLEASE CHOOSE ONE)

1. How would you dust a shelf with many knickknacks on it?

2. What is the procedure in general for cleaning any room in a facility?

3. What would you do if there was a $50 bill lying on a table with no note?

4. How do you dust a picture on the wall that has no glass?

Print Name

Signature

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