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Application for Employment
Please fill out the form accurately completely before submitting into 5 Star Custom Cleaning.
Which Location are you applying for?
Choose Option
Atchison, KS
Applicant Information
First Name
Last Name
Middle Initial
Primary Contact #
Street Address
City
State
Zipcode
Email Address
Date of Birth
---------
Position(s) Applying For
__General Cleaning
__Team Supervisor
__Branch Manager
Are you a Citizen of the United States?
__Yes
__No
If no, are you authorized to work int he U.S.?
__Yes
__No
Have you ever worked for 5 Star Before?
__Yes
__No
If yes, when?
Have you ever been convicted of a felony?
__Yes
__No
If yes, please explain
Education
Select your education level completed
__Some High School (did not complete)
__Diploma/GED
__Some College
__Associates (2 Years)
__Bachelors (4 years)
__Trade School
__Other
Location of most recent education
References
Name
Phone #
Name
Phone #
Name
Phone #
Employment History
Company
Phone
Address
Supervisor
From
To
Reason for Leaving
May we contact this previous employer for a reference?
__Yes
__No
Company
Phone
Address
Supervisor
From
To
Reason for Leaving
May we contact this previous employer for a reference?
__Yes
__No
I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false and/or misleading information in my application or interview may result in my termination of employment with 5 Star Custom Cleaning. My initials below indicate that I have read and agree to this statement.
Initials
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