Job Application

Applicant's full name: *

First

Last

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Phone number:

Email: *

Date of application: *

Position(s) applying for: *

I would like to work...:

Tell us if you would like to work part-time, on commission or on-call bases.

How did you hear about this position?:

What days are you available for work?:

If needed, are you available to work overtime?:

On what date can you start working if you are hired?:

Do you have reliable transportation to and from work?:

Salary desired:

Have you ever applied to or worked for Four Results Carpet Cleaning LLC before?

If yes, when?

Do you have any friends, relatives, or acquaintances working for Four Results Carpet Cleaning LLC

If yes, state name and...:

...Relationship:

What's your relationship with the above mentioned name?

Are you 18 years of age or older?:

Are you a U.S. citizen or approved to work in the United States?:

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

If others, then state:

Will you consent to a mandatory controlled substance test?:

Do you have any condition which would require job accommodations?:

If yes, please describe accommodations required below:

Have you ever been convicted of a criminal offense (felony or misdemeanor)?:

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

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

Skills 1

Qualification 1

Skills 2

Qualification 2

More skills?:

Skills 3

Qualification 3

(Note: Four Results Carpet Cleaning LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

High school name:

If High School is the highest level of your education

Location (city, state):

Address Line 1

City

State

Year graduated:

Degree earned:

College/University name:

If College/University is the highest level of your education

Location (city, state):

Address Line 1

City

State

Year graduated:

Degree earned:

Vocational School/Specialized Training name:

If Vocational School/Specialized Training is the highest level of your education

Location (city, state):

Address Line 1

City

State

Year graduated:

Degree earned:

Are you a member of the Armed Services?:

What branch of the Military did you enlist?:

What was your military rank when discharged?:

How many years did you serve in the military?:

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

Employer's name:

First

Last

Skip this section if you don't have previous working experience

Your job title:

Supervisor's name:

First

Last

Employer's address:

Address Line 1

Address Line 2

City

State

Zip Code

Employer's phone number:

Date employed:

Reason(s) for leaving:

Please provide 2 personal and professional reference(s) below

Reference 1 name:

First

Last

Reference 1 contact info (email and phone in that order):

Reference 2 name:

First

Last

Reference 2 contact info (email and phone in that order):

The relationship between you and the Four Results Carpet Cleaning LLC 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 Four Results Carpet Cleaning LLC. No representative of Four Results Carpet Cleaning LLC 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 employment 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.

By clicking "Apply Now" means you agree to these terms.

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