In and Out Cleaning by Jack-ie of All Trades

Application

Employment Application

Applicant Full Name:

DOB:

Home Address:

Apt/Unit

City:

State:

Zip:

Telephone Number:

phone type

Mobile

Landline

Social Security Number:

Driver's License/State ID (Number):

State Issued (DL/ID)

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Emergency Contact Information

Emergency Contact Name

Emergency Contact Relationship:

Emergency Contact Phone Number

Emergency Contact Address:

Apt/Unit

City:

State:

Zip:

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Desired Employment Position Details

Employee Position

Status

What hours are you available for work?

If you are offered employment, when would you be available to begin work?

Do you have reliable transportation to and from work?

Explain:

Desired Salary Per Hour:

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Personal Information

Do you have any friends or relatives who work here?

If Yes Please list Name and Relationship

Were you referred to our company?

If Yes Please list Name and Relationship

Have you applied to our company previously?

If yes, when

Are you at least 18 years old?

Are you a U.S. citizen or legally eligible for employment in the United States?

What Document can you provide as proof of citizenship or legal status?

Do you have any condition which would require reasonable accommodations?

What reasonable accommodation, if any, would you request?

Will you consent to a mandatory controlled substance test?

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Job Skills/Questions

Please list below the skills and qualifications you possess for the position for which you are applying:

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Applicant's Education and Training

College/University

Address:

City:

State:

Zip:

Did you receive a degree?

If yes, degree(s) received:

High School/GED:

Address:

City:

State:

Zip:

Voacational School/Specialized Training:

Address:

City:

State:

Zip:

Please indicate any current professional licenses or certifications that you hold:

Awards, Honors, Special Achievements:

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Military

Are you a member of the Armed Forces?

Rank:

Number of Years Served:

What military skills do you possess that would be an asset for this position?

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Employment History - Pleas provide employment history for the last year.

Employer Name:

Supervisor Name:

Telephone Number:

Address:

City:

State:

Zip:

Job Duties:

Dates of Employment (Month/Year):

Reason for Leaving:

Employer Name:

Supervisor Name:

Telephone Number:

Address:

City:

State:

Zip:

Job Duties:

Dates of Employment (Month/Year):

Reason for Leaving:

Employer Name:

Supervisor Name:

Telephone Number:

Address:

City:

State:

Zip:

Job Duties:

Dates of Employment (Month/Year):

Reason for Leaving:

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References - Professional or Personal. At least 1 required.

Name:

Relationship:

Telephone Number:

Address:

City:

State:

Zip:

Name:

Relationship:

Telephone Number:

Address:

City:

State:

Zip:

New Field:

Relationship:

Telephone Number:

Address:

New Field:

State:

Zip:

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By checking, I affirm that I understand the relationship between you and the Jackie-of-All-Trades is referred to as "employment at will." This means that

your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you

or the Jackie-of-All-Trades. No representative of Jackie-of-All-Trades has the authority to enter into any agreement

contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and

that you acknowledge that no oral or written statements or representations regarding your job can alter your at-will

employment status, except for a written statement signed by you and either our Executive Vice-President/Chief

Operations Officer or the Company's President.

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By checking, I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Full Legal Name

Date

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JackieOfAllTrades16@gmail.com

1717 S Rustle St. Ste106

Spokane, WA 99224

509-496-5837