L & J Commercial Cleaning

Employment Application

Full Name: _____________________________________________________________

Address: __________________________City __________________State____ Zip_____

Phone: (         )________________________Mobile: (        )_______________________

Social Security Number: ___________________________________________________

Are you legally authorized to work in the United States? [ ] Yes [ ] No

Have you ever pleaded “guilty,” no contest,” or been convicted of a crime? [ ] Yes [ ] No

Date of birth: ___________________________________________________________

Race: __________________________________________________________________

Driver’s License Number: __________________________________________________

PREVIOUS EMPLOYMENT (beginning with your most recent position):                 

Employer:______________________________________________________________

Address: _________________________City _________________State ____Zip ______

Phone: (      ) ______________________ Dates of Employment: ___________________

Job Title and Duties: ______________________________________________________

Supervisor: _____________________________________________________________

Salary: __________________ Reason for Leaving: ______________________________

May we contact this employer for a reference?  [ ] Yes [ ] No

                                                                Over

Employer: _____________________________________________________________  

Address: _________________________City _________________State ____Zip ______

Phone: (      ) ______________________ Date of Employment: ____________________

Job Title and Duties: ______________________________________________________

Supervisor: _____________________________________________________________

Salary: __________________ Reason for Leaving: ______________________________

May we contact this employer for a reference?  [ ] Yes [ ] No

Employer:______________________________________________________________

Address: _________________________City _________________State ____Zip ______

Phone: (      ) ______________________ Date of Employment: ____________________

Job Title and Duties: ______________________________________________________

Supervisor: _____________________________________________________________

Salary: __________________ Reason for Leaving: ______________________________

May we contact this employer for a reference?  [ ] Yes [ ] No

Education:

1.      High School: ________________________From: _____To:_____ Finish Y / N

2.      College _________________________ From: ______To: _____Finish  Y / N