Apply Online

Benefits

All Jani-Clean employees have available:

1) Paid holidays after 30 days of employment as long as its a normal work day and you work the day before and day after.
2) 1 weeks paid vacation after a year of services, 2 weeks after 3 years of service
3) an SRA 3% matching funds retirement program after a year of service
4) Dental Insurance

Application For Employment

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization. This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time period should reapply.

Applicant Name:

Date (MM-DD-YYYY):

Address:

Phone Number:

Email:

Do you have a valid drivers license number: YesNo

How were you referred to us?:

Position(s) applied for:
CleanerCarpet TechnicianFloor CrewSupervisionManagementOther

If you selected 'Other', please specify:

Date you will be available to start work (MM-DD-YYYY):

What shift(s) are you available to work?

Type of employment desired:
full-timepart-timetemporary

Days/ Hours available to Work:
No Pref.MonTueWedThurFriSatSun

Are you able to meet the attendance requirements? YesNo
Do you have any objection to working overtime if necessary? YesNo
Can you travel if required by this position? YesNo
Have you ever been previously employed by our organization? YesNo
Can you submit proof of legal employment authorization and identity: YesNo
If you are under 18, can you furnish a work permit if it is required?: YesNo
Have you ever been convicted of a crime in the last 7 years? YesNo

If yes, please explain (a conviction will not automatically bar employment)

 

Employment History

Please provide all employment information for your past four employers start with the most recent.

 

Employer #1:

Position Held:

Address:

Phone Number:

Immediate supervisor and title:

Date Employed From (MM-DD-YYYY):

Date Employed To (MM-DD-YYYY):

Salary:

Job summary:

Reason for Leaving:

 

Employer #2:

Position Held:

Address:

Phone Number:

Immediate supervisor and title:

Date Employed From (MM-DD-YYYY):

Date Employed To (MM-DD-YYYY):

Salary:

Job summary:

Reason for Leaving:

 

Employer #3:

Position Held:

Address:

Phone Number:

Immediate supervisor and title:

Date Employed From (MM-DD-YYYY):

Date Employed To (MM-DD-YYYY):

Salary:

Job summary:

Reason for Leaving:

 

Employer #4:

Position Held:

Address:

Phone Number:

Immediate supervisor and title:

Date Employed From (MM-DD-YYYY):

Date Employed To (MM-DD-YYYY):

Salary:

Job summary:

Reason for Leaving:

 

Other Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

 

Educational History

List school name and location, years completed, course of study, and any degrees earned:

High School:

College:

Technical Training:

Other:

 

References

List 2 reference names, telephone numbers, and years known (do not include relatives or employers):

 

Terms & Conditions

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this appliction does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these condidtions.

Submission of this online application constitutes agreement to the conditions stated therein.

Check here if you accept these terms.

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