Application

Name *

First Name

Last Name

Phone Number

(###)

###

####

Position applying for

Cleaning Technician

Organization Technician

What type of position are you interested in? *

FULL TIME

PART TIME

TEMPORARY

SEASONAL

What days are you available to work?

SUNDAY

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

What times are you available to work? *

Morning

Afternoon

Evenings

If hired what date would you be able to start? *

MM

DD

YYYY

If hired, can you work weekends? *

YES

NO

If hired, can you work evenings? *

YES

NO

Do you have reliable means of transportation to/from work? *

Yes

No

As a condition of employment, are you willing to submit to a controlled substance test?

YES

NO

As a condition of employment, are you willing to submit to a background check?

YES

NO