Name*Phone Number*Email Address* Address*Date Available For Work* Date Format: MM slash DD slash YYYY Position InformationType of Employment Desired*How many hours a week?*Desired Position*Salary Desired*Are you currently employed?*YesNoAre you willing to work overtime?*YesNoHave you ever applied to this company before?*YesNoDo you have any relatives currently employed at Interstate Contract Cleaning Services?*YesNoHave you ever worked for Interstate Contract Cleaning Services Previously?*YesNoIf so, how long?If offered a position, are you able to provide verification of your legal right to work in the United States?*If under the age of 18, can you furnish a work permit?*List any certifications, licenses, training, and/or skills that you feel will give additional understanding of your qualifications*Have you ever been convicted of a felony?*YesNoEducation & Certification InformationPlease Enter your Vocational School InformationPlease Enter your Undergraduate School InformationPlease Enter your Graduate School InformationPlease Enter your Post Graduate School InformationReferencesSupervisor Name & Position*Firm Name*Full Address*Phone Number*Supervisor Name & PositionFirm NameFull AddressPhone NumberSupervisor Name & PositionFull AddressPhone NumberCurrent/Last PositionCompany Name*From*To*Address*Position Title*Supervisor's Name*Supervisor's Title*Phone Number*Compensation Total*Reason for leaving*Duties/Responsibilities*Consent to Terms & ConditionsIf you consent to this Agreement, check the box.* If you consent to this Agreement, check the box.