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Job Application

South Chicago Janitorial,Inc



Personal Information

Middle Intial:
Last Name: Social Security Number:
Street Address: City:

Previous Address

Home Phone: Mobile Phone:
Are you 18 years of age or older?

Position Desired

Type of Employment:

Days Available for work:


Did you Graduate?
Dates Attended:
Did you Graduate?


Have you served as a member of the U.S. Armed Forces?
Branch/Services: Rank/Speciaty

Work Experience

State: Zip Code:
Position Held: Dates of Employment:
Job Description: Supervisor:
Reason for Leaving:

May we contact your present employer?
More Work Experience
Previous Employer: Telephone:
State: Zip Code:
Position Held: Dates of Employment:
Job description: Supervisor
Reason for leaving: Salary:


I certify that information furnished on this application is true and correct. I understand and agree that any falsification, misrepresentation, mis leading statements, omission of facts on either this application, during or after the pre-hire process will be sufficent reason for (1) my not being offered employment, or (2) dismissal at any time from the service of the organization if employed. I also understand and agree that I must be physically and mentally able to perform the work for which I am applying or being considered. In addition, I authorize my former employers to provide South Chciago Janitorial, Inc, any information regrading my employment and educational records, including and in addition to the above, and I release all parties from any liability for any damages which may result from furnishing such information. I also agree to conform to the organization's policies and regulations if employed, and I understand and agree that my employment and compensation is of an "at will" nature, and therefore can be terminated, with or without cause or notice at any time, by either the organization or myself.
Do you accept the terms of this application?