Today's Date *

Full Name *

Cell Phone Number *

Email Address *

Current Street Address

City

State

Country

Postal code

How did you hear about this job? *

Have you been charged with any felonies or Misdemeanors? *

Do you have a valid Drivers License? *

Are you able to pass a drug screen today? *

Are you legally authorized to work in the US? (We file I-9 for employment verification) *

Previous Experience? *

Are you over 21 years old? *

What is your highest level of education? *

Do you have a reliable, licensed and insured vehicle? *

Are you able to push and pull a garbage/ janitorial cart up to 50 pounds? *

Do you consider yourself a reliable person? *

Reason for Leaving Current or Most Recent Position Provide a brief and professional explanation for why you are seeking a new opportunity. *

How many hours per week are you looking for? *

Preferred Time *

What is your current pay scale? *

Why do you want to work for White Glove Cleaning? *

Are you able to lift up to 25 pounds? *

Are you able to perform the essential physical functions of this position, such as standing, bending, or kneeling, with or without reasonable accommodation? *

If no, please explain:

Are you currently employed? *

Are you able to push, pull, twist, walk and clean? *

Three qualities that describe yourself *

Are you prompt for your shifts? *

What is your longest employment? *

What will your last employer say about your attendance? *

What is the phone number of your previous employer? Please include area code. *

Please explain any gaps in employment. *

What is the name of your most recent employer? *

How long were you (or have you been) employed at your most recent job *

Are you eligible for rehire at your previous employer? *

May we contact your previous employer for a reference? *

Are you able to provide at least 2 Professional references? *

Professional / Work Reference #1: Name *

Your relationship to reference #1? *

#1: Phone *

Professional / Work Reference #2: Name *

#2: Phone *

Your relationship to reference #2? *

Please upload your full resume here if you have one. *

What year did you graduate from High School? *

Why did you leave your previous job, or why are you seeking a new opportunity?  *

Provide specific examples of previous cleaning experience and your job duties. *

Do you want to (or currently) own your own cleaning business? *

Please choose the option that best describes you (there is no wrong answer) *

Choose among choices that best describes you (there is no wrong answer) *

When are you available to start? *

What types of cleaning equipment have your worked with? *

What steps would you take to troubleshoot a vacuum that is not working properly? *

What makes you interested in this position? *

How long can you see yourself working here? *

Do you anticipate needing any time off within the next 60 days? *

Were you referred? *

If hired what is your shirt size? (So we can order company shirts) *

Applicant Signature: By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.* This is not an offer for employment, it is the first step in our application process. Thank you for your interest in White Glove Cleaning. We look forward to talking with you soon. *

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