Employment Opportunities:
Currently Seeking Part-time and Full-time Cleaning Technicians
Interested applicants please fill out following fields and click "submit"; * indicates required field; please use mouse rather than tab key to navigate application
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Availability:
Monday*
Tuesday*
Wednesday*
Thursday*
Friday*
Saturday*
General Info:
Are you elligible for legal U.S. employment?*
Do you have transportation to work?*
Do you have a valid driver's license?*
Education:
Work Experience:
Still employed?*
May we contact?*
May we contact?
May we contact?
References:
First name*:
Middle Initial:
Last name*:
Social Security #:
Street Address*:
Address Line 2:
City*:
Zip code*:
Phone #1*:
Phone # 2:
Email Address*:
Email Address 2:
If "yes" issuing state:
#:
Name of School*:
Address of School*:
City*:
State*:
Zip Code*:
Most recent employer*:
Job Title:*
Supervisor's name*:
Supervisor's phone #*:
Employer 2:
Job Title:
Supervisor's name:
Supervisor's phone #:
Employer 3:
Job Title:
Supervisor's name:
Supervisor's phone #:
Reference 1 Name*:
Relationship*:
Phone #*:
Reference 2 Name*:
Relationship:*
Phone #*:
Reference 3 Name*:
Phone #*:
Relationship*:
Birth Month*
January
February
March
April
May
June
July
August
September
October
November
December
Date*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year*
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
State*:
New York
NewJersey
Home
Cell
Work
Other
Home
Cell
Work
Other
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
Highest Level of Education* Completed:
Some High School
High School/GED
Trade School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate/Professional Degree
Please include a brief description of nature of work (including starting and ending pay and reason for leaving)*
Please include a brief description of nature of work (including starting and ending pay and reason for leaving)
Please include a brief description of nature of work (including starting and ending pay and reason for leaving)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
From:
8:00 AM
8:30 AM
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
(none)
To:
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
(none)
YES
NO