Employment – HoneyBees Cleaning and Janitorial Services

Employment Application

HoneyBees Cleaning & Janitorial Services is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization. Please print and fill out all sections.

Applicant Name *

Home Phone *

Other

Email *

Current Address *

Position Applying For *

Are you applying for: *

Temporary work-such as summer or holiday work?
Regular part-time work
Regular full-time work

What days and hours are you available for work? *

If applying for temporary work, when will you be available? *

If hired, on what date can you start working? *

Example: 05/25/2017

Can you work on the weekends? *

Can you work evenings? *

Are you available to work overtime? *

Desired Salary *

Have you ever applied to/ worked for our company before? *

If yes, please explain (include date employed): *

Do you have any friends, relatives, or acquaintances working for our company? *

If yes, please state name and relationship: *

If hired, would you have transportation to/from work? *

Are you over the age of 18? (If under 18, hire is subject to verification of minimum legal age.) *

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? *

If hired, are you willing to submit to and pass a controlled substance test? *

Are you able to perform the essential functions of the job for which you are applying, either with / without reasonable accommodation? *

If no, describe the functions that cannot be performed: *

(Note: Company complies with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Have you ever been convicted of a criminal offense (felony or misdemeanor)? *

If yes, please describe the crime - state nature of the crime(s), when and where convicted and disposition of the case *

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

High School Info *

Include: School name, address, city, state, zip, number of years completed, degree/diploma earned.)

Did you graduate? *

College/ University Info *

Include: Degree earned, school name, address, city, state, zip, number of years completed.)

Did you graduate? *

Vocational School *

Include: Degree earned, school name, address, city, state, zip, number of years completed.

Did you graduate? *

Military *

Include: Branch, rank in military, total years of service, skills/duties, any related details. If not applicable please state N/A.

Do you speak, write or understand any foreign languares? *

If yes, describe which languages(s) and how fluent of a speaker you consider yourself to be *

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?

Are you currently employed? Below, please describe past and present employment positions, dating back five years, starting with most recent. Please account for all periods of unemployment. *

If you are employed, may we contact your current employer? *

Name of employer (Most current) *

Name of supervisor *

Phone number *

Business type *

Address *

Street, city, state, zip

Length of Employment (Include dates) *

Position and Duties *

Reason for leaving *

May we contact this employer for references? *

Name of employer *

Name of supervisor *

Phone number *

Business type *

Address *

Street, city, state, zip

Length of employment (Include dates) *

Position and Duties *

Reason for leaving *

May we contact this employer for references? *

Name of employer *

Name of supervisor *

Phone number *

Business type *

Address *

State, city, state, zip

Length of employment (Include dates) *

Position and Duties *

Reason for leaving *

May we contact this employer for references? *

List below three persons who have knowledge of your work performance within the last four years. Please include professional references only. *

Include: First and last name of reference, telephone number, address, occupation, and number of years acquainted.

Please read and electronically initial each paragraph. I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company. *

Please read and electronically initial each paragraph. I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company *

Please read and electronically initial each paragraph. I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation. *

Applicants Electronic Signature *

Date *

Message

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