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Bethany Beach Cleaning, LLC Part-Time Employment Application Applicant Information
Applicant Name: _____________________
Current Address: _______________________________________________________ How were you referred to Company? _____________________________ Positions Position(s) applying for: _________________________________________ Are you applying for: · Temporary part-time work – such as summer or holiday work? [ ] Y or [ ] N
·
Regular part-time work? [ ] Y or [ ] N What days and hours are you available for work? ______________________ If applying for temporary work, when will you be available? _______________________ If hired, on what date can you start working? __________________________________ Can you work on the weekends? [ ] Y or [ ] N Can you work evenings? [ ] Y or [ ] N Personal Information:
Have you ever applied to / worked for Company before? [ ] Y or [ ] N If hired, would you have transportation to/from work? [ ] Y or [ ] N Are you over the age of 18? If under 18, do you have working papers? [ ] Y or [ ] N If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N
If
yes, please state the nature of the crime(s), when and where convicted
and disposition of the case:
____________________________________________________________________________________________________ (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. Education, Training and Experience
High School:
Number of years completed: Years
College / University/Vocational School: Additional Information
Do
you have any other experience, training, qualifications, or skills which
you feel should be brought to our attention, in the case that they make
you especially suited for working with us? If yes, please explain ___________________________________________ Employment History Are you currently employed? [ ] Y or [ ] N If you are currently employed, may we contact your current employer? [ ] Y or [ ] N Below, please describe past and present employment positions, dating back five years. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.
Name of Employer:_________________________________________
Length of Employment (Include Dates): ______________________
Name of Employer:__________________________________________
Length of Employment (Include Dates): _________________________________________
Name of Employer:__________________________________________
Length of Employment (Include Dates): _________________________________________ References List below three persons who have knowledge of your work performance within the last four years. Please include professional references only.
Name - First, Last: _________________________________________
Name - First, Last: _________________________________________
Name - First, Last: _________________________________________ Please Read and Initial Each Paragraph, then Sign Below
I
certify that I have not purposely withheld any information that might
adversely affect my chances for hiring. I attest to the fact that the
answers given by me are true & correct to the best of my knowledge and
ability. I understand that any omission (including any misstatement) of
material fact on this application or on any document used to secure can
be grounds for rejection of application or, if I am employed by this
company, terms for my immediate expulsion from the company.
I
understand that if I am employed, my employment is not definite and can
be terminated at any time either with or without prior notice, and by
either me or the company.
I
permit the company to examine my references, record of employment,
education record, and any other information I have provided. I authorize
the references I have listed to disclose any information related to my
work record and my professional experiences with them, without giving me
prior notice of such disclosure. In addition, I release the company, my
former employers & all other persons, corporations, partnerships &
associations from any & all claims, demands or liabilities arising out
of or in any way related to such examination or revelation. Applicant's Signature:______________________________ Date:______________________________ |