Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Phone Carrier
Driver's License #
State Issued
Social Security Number
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mailing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Previous Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you legally authorized to work in the United States?
*
Yes
No
Are you at least 21 years of age?
*
Yes
No
Do you have a valid driver's license?
*
A copy will be required
Yes
No
Do you have a reliable vehicle to travel to work and between job sites?
*
A RELIABLE vehicle is a requirement due to the nature of our work. Candidates must be able to travel to multiple job sites each day.
Yes
No
Do you have car insurance?
*
State minimum or better car insurance is required and you will be asked for proof of coverage.
Yes
No
If you have ANYTHING on your criminal background, please explain the details below:
Are you comfortable around pets?
*
Yes
No
Do you have any allergies to pets or cleaning solutions?
*
Yes
No
Which of the following categories of jobs have you had (check all that apply)?
House Cleaning
Restaurant
Sales
Homemaker
Commercial Cleaning
Janitorial
Service
Hotel/Motel
Fast Food
Manufacturing
Other
Do you have any scheduling limitations that would prevent you from being consistently available from 8:30am – 5:00pm Monday through Friday? If so, please explain:
*
Are you available to work on weekends (optional/occasional weekend jobs available but not required)?
Yes
No
I'm not interested or unable to work any weekend days.
Do you have regular and reliable childcare (if applicable) to be able to work from 8:30am-5:00pm consistently during the week days?
*
Yes
No
Do you have reliable childcare when schools are closed (i.e. in-service days, Spring Break, Christmas Break, weather closings and delays)?
*
Yes
No
Please describe any schedule limitations you may have:
If hired, when could you start work?
*
If yes, may we contact your present employer?
Yes
No
Have you ever been convicted of a criminal offense?
Yes
No
If yes, please explain:
Have you ever been bonded?
*
Yes
No
Has your driver’s license ever been suspended?
*
Yes
No
If yes, please explain:
Are you drug-free?
*
A drug screening will be required for consideration of employment
Yes- I only take medications prescribed to me by a doctor
No
Are you able to perform physically demanding work?
The nature of the work is physically demanding and includes the ability to lift objects up to 25 lbs., bend/kneel, go up/down stairs, carry equipment, and work on your feet for most of the day
Yes
No
Yes, but with some limitations
Are you currently employed?
*
Yes
No
I am looking for:
*
Part-time work
Full-time work
Unsure
I am able and willing to work:
*
Monday-Friday, between 8:30am-6:00pm
Occasional Evenings
Occasional Weekends
Other
Please describe your normal availability
*
Indicate any days/times you are unable to work (please include evenings and weekends in your description):
Additional Information
Please use the text box below to provide any additional information
Opt in to text messages
*
Would you like to receive text messages from Integrated Cleaning Solutions regarding your status in the hiring process? (Data rates may apply)
Yes
No
Acceptance
*
I certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I join Integrated Cleaning Solutions' team, any false, misleading, or otherwise incorrect statements made on this application or during any part of the working relationship, may be grounds for my immediate dismissal.
I have read and agree to this statement