Employment Application

Employment History

List most recent employer

Please attach a resume OR complete employment history below

Attach Resume (if applicable)

If you do not have a resume, please complete the section below.

Employer Name #1

Address

City

State

Zip Code

Employer Phone Number

Salary/Hourly pay

Start Date

End Date

Title and Duties

Reason for leaving

Employer Name #2

Address

City

State

Zip Code

Employer Phone Number

Salary/Hourly pay

Start Date

End Date

Title and Duties

Reason for leaving

Employer Name #3

Address

City

State

Zip Code

Employer Phone Number

Salary/Hourly pay

Start Date

End Date

Title and Duties

Reason for leaving

Emergency Contact

In case of an accident or illness, who may we contact.

Emergency Contact #1

First Name

Last Name

Relationship

Phone Number

Address

City

State

Zip Code

Emergency Contact #2

First Name

Last Name

Phone Number

Relationship

Address

City

State

Zip Code

INFORMATION TO THE APPLICANT

As part of our procedure for processing your employment application, your personal and employment reference may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate and other proof of authorization to work in the United States, have physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above.

Full Name

Date

Equal Employment Opportunity:While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.

Amer-Plus Application

Review job descriptions here: >>> https://amerpluscleaning.com/jobs/

Availability

Employment History

Please attach a resume OR complete employment history below

Emergency Contact

Emergency Contact #1

Emergency Contact #2

INFORMATION TO THE APPLICANT

THANK YOU FOR YOUR INTEREST IN AMER-PLUS!

Information Summary