Position Applied For
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Name
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Phone
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Alternative Phone
How long have you lived here?
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Email
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Desired Salary/Hourly Rate
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Specify Hours
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Date you can start work if hired
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If yes, provide dates of applying.
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If yes, provide dates of employment, location and reason for separation from employment.
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If applicable, below list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.
EDUCATION
High School
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Address
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Studied (Major)
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College
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Address
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Studied (Major)
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Trade School
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Address
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Studied (Major)
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List Degrees, Diplomas, and/or Certificates earned:
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Employer
Name
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Address
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Type of Business
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Phone
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Dates Employed - From
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To
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Job Title
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Duties
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Supervisor's Name
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If No, why not?
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Wages - Start
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Final
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Reason for living?
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What will this employer say was the reason your employment terminated?
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Were you ever disciplined? If so, for what?
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How much notice did you give when resigning? If none, explain.
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Employer
Name
Address
Type of Business
Phone
Dates Employed - From
To
Job Title
Duties
Supervisor's Name
If No, why not?
Wages - Start
Final
Reason for living?
What will this employer say was the reason your employment terminated?
Were you ever disciplined? If so, for what?
How much notice did you give when resigning? If none, explain.
If yes, how many times?
If yes, how many times?
If yes, how many times?
If you answered Yes to any of the above three questions, please explain the circumstances of each occasion:
Name
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Position
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Company
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Relationship
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Phone
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Name
Position
Company
Relationship
Phone
Please list the names of personal references (not previous employers or relatives) who you know that we may contact.
Name
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Occupation
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Address
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Phone
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Years known
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Name
Occupation
Address
Phone
Years known
DRIVING INFORMATION
License #
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Exp. Date
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State
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CA Other
If you do not have a driver’s license for California, why not?
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If yes, explain:
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If no, explain:
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If yes, explain:
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Offense
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Date
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Location
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Comments
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Offense
Date
Location
Comments
Offense
Date
Location
Comments
APPLICANT CERTIFICATION
I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside. I understand that ShineBrite Premier Cleaning Services LLC may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local laws. If ShineBrite Premier Cleaning Services LLC has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to ShineBrite Premier Cleaning Services LLC's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with ShineBrite Premier Cleaning Services LLC's policies and applicable federal, state, and local law. If employed by ShineBrite Premier Cleaning Services LLC, I understand and agree that ShineBrite Premier Cleaning Services LLC, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property. I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, restrictive covenant, and/or conflict of interest statement. I certify that all the information on this application, my résumé, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.
APPLICANT CERTIFICATION
SHINEBRITE PREMIER CLEANING SERVICES LLC IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, SHINEBRITE PREMIER CLEANING SERVICES LLC OR I MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF SHINEBRITE PREMIER CLEANING SERVICES LLC IS AUTHORIZED TO ENTER INTO AN AGREEMENT—EXPRESS OR IMPLIED—WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF SHINEBRITE PREMIER CLEANING SERVICES LLC. IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF SHINEBRITE PREMIER CLEANING SERVICES LLC, AND I UNDERSTAND THAT SHINEBRITE PREMIER CLEANING SERVICES LLC HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL. I authorize ShineBrite Premier Cleaning Services LLC and its agents to confirm all statements contained in this application and/or résumé as it relates to the position I am seeking to the extent permitted by federal, state, or local law. I agree to complete any requisite authorization forms for the background investigation which may be permitted by federal, state and/or local law. If applicable and allowed by law, I will receive separate written notification regarding ShineBrite Premier Cleaning Services LLC's intent to obtain "consumer reports." I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by federal, state, and local law, any party delivering information to ShineBrite Premier Cleaning Services LLC or its duly authorized representative pursuant to this authorization from any liability, claims, charges, or causes of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability ShineBrite Premier Cleaning Services LLC and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorize ShineBrite Premier Cleaning Services LLC to provide truthful information concerning my employment to future employers and hold ShineBrite Premier Cleaning Services LLC harmless for providing such information. If hired by ShineBrite Premier Cleaning Services LLC, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by ShineBrite Premier Cleaning Services LLC. I also understand ShineBrite Premier Cleaning Services LLC employs only individuals who are legally eligible to work in the United States. THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF SIXTY (60) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE. DO NOT SIGN UNTIL YOU HAVE READ ALL OF THE INFORMATION CONTAINED IN THE APPLICATION.
FOR CALIFORNIA APPLICANTS ONLY: BY CHECKING THIS BOX, I WAIVE MY RIGHT TO RECEIVE A COPY OF ANY PUBLIC RECORD OBTAINED BY SHINE BRITE PREMIER CLEANING SERVICES FOR EMPLOYMENT PURPOSES THROUGH AN INTERNAL INVESTIGATION.
Signature (type name)
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Date
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If the applicant is a minor, the foregoing release and consent must be signed by the applicant's parent or legal guardian. Signature by the applicant's parent or legal guardian constitutes acknowledgement by the applicant and the parent or legal guardian that ShineBrite Premier Cleaning Services LLC, to the extent permitted by federal, state, and local law, can test the applicant for illegal or controlled substances, conduct inspections of property without notice, and communicate test results to ShineBrite Premier Cleaning Services LLC personnel who need to know, the applicant, and the applicant's legal guardian.
Parental Guardian Signature (type name)
Date
Witness Signature (type name)
Date