Zen Cleaning Services

Employment Application

    Personal Information

    First Name * Middle Name * Last Name *
    Street Address *
    City * State * Zip Code *
    Contact Number E-mail Address *
    Are you eligible to work in the United States? *
    If you are under age 18, do you have an employment/age certificate?
    If yes, please explain  
    Have you been convicted of or pleaded no contest to a felony within the last five years? *
    If yes, please explain  
    Have you ever been terminated from employment or asked to resign by an employer? *
    If yes, please explain

    Position/Availability

    Position applied for * Date you can start *
    Days Available *
    Monday
    		From To
    Tuesday
    		From To
    Wednesday
    		From To
    Thursday
    		From To
    Friday
    		From To
    Can you work overtime, including weekends? *
    Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *

    Education

    Name Location Number of Years Graduation Date
    High School
    College/University
     
    Skills/Qualifications/Training
    1.
    2.
    3.
    4.
    5.

    Employment History

    Employer
    Address Phone/Email
    Previous Position
    From To
    Supervisor Reason for Leaving
    May we contact your current employer?
     
    Employer
    Address Phone/Email
    Previous Position
    From To
    Supervisor Reason for Leaving
    May we contact your current employer?
     
    Employer
    Address Phone/Email
    Previous Position
    From To
    Supervisor Reason for Leaving
    May we contact your current employer?
     
    Employer
    Address Phone/Email
    Previous Position
    From To
    Supervisor Reason for Leaving
    May we contact your current employer?

    References

    Name/Title Contact Information Years Acquainted
    1.
    2.
    3.
     
    Please read carefully before signing. Zen Cleaning Services LLC is an equal opportunity employer. Zen Cleaning Services LLC does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Zen Cleaning Services LLC to hire me. If I am hired, I understand that either Zen Cleaning Services LLC or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
     
    Signature:
    Date: