Employment

L&R Cleaning is now accepting applications for employment. Please click here to read our Conditions for Acceptance of Work Application for Employment and Release. Please be sure that you read and understand the conditions before submitting your application.

Employment Application

LAST NAME *
MIDDLE NAME
FIRST NAME *

ADDRESS

CITY *
STATE
ZIP
SOCIAL SECURITY NUMBER
DATE OF BIRTH
EMAIL ADDRESS *
PHONE NUMBER
DATE AVAILABLE*
DESIRED SALARY
POSITION APPLIED FOR
ARE YOU A CITIZEN OF THE UNITED STATES?
YesNo
IF NO, ARE YOU AUTHORIZED TO WORK IN THE U.S.?
YesNo
HAVE YOU EVER WORKED FOR THIS COMPANY?
YesNo
IF SO, WHEN?
DO YOU HAVE A VALID DRIVER’S LICENSE?
YesNo
LICENSE #
STATE OF ISSUANCE

HAVE YOU EVER PLEAD GUILTY, ACCEPTED DIVERSION OR BEEN CONVICTED OF A CRIMINAL OFFENSE, OTHER THAN A MINOR TRAFFIC VIOLATION?
YesNo

IF YES, PLEASE DESCRIBE THE OFFENSE(S); THE DATE(S) OF THE PLEA, DIVERSION OR CONVICTION; AND THE CURRENT STATUS OF YOUR LAST SENTENCE OR DIVERSION

AVAILABILITY FOR WORK

WHAT IS YOUR TRANSPORTATION TO WORK?
TIMES AVAILABLE TO WORK.
ARE YOU ABLE TO WORK OVER HOURS SCHEDULED?
YesNo
CAN YOU WORK MONDAY THROUGH FRIDAY?
YesNo
CAN YOU WORK WEEKENDS?
YesNo
HOW MANY HOURS YOU ARE LOOKING TO WORK?

EDUCATION

NAME OF SCHOOLS ATTENDED, HIGHEST GRADE OF EDUCATION COMPLETED, CERTIFICATES, DIPLOMAS, OR DEGREES EARNED:

MAJOR FIELD OF STUDY AND/OR FAVORITE SUBJECTS
OFFICES, HONORS, AWARDS OR EXTRACURRICULAR ACTIVITIES

PREVIOUS EMPLOYMENT

(This section must be completed accurately, beginning with present or last job)

COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY $
ENDING SALARY $
RESPONSIBILITIES
FROM
TO
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YesNo
REASON FOR LEAVING
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY $
ENDING SALARY $
RESPONSIBILITIES
FROM
TO
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YesNo
REASON FOR LEAVING
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY $
ENDING SALARY $
RESPONSIBILITIES
FROM
TO
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YesNo
REASON FOR LEAVING
COMPANY
PHONE
ADDRESS
SUPERVISOR
JOB TITLE
STARTING SALARY $
ENDING SALARY $
RESPONSIBILITIES
FROM
TO
MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?
YesNo
REASON FOR LEAVING

NOTES

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