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: