Application for Employment

--APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS--

First Name:  
Last Name:  
Home Phone:   State:
Cell Phone: Position Applied For:
Email: Salary Requirements:
How many hours can you work weekly?
When are you available to start work? Applying for: Full Time Only Part Time Only Both

Type of School Name of School Location Number of Years Completed Major & Degree
High School
College
Trade School
Other
         
Have you ever been convicted of a crime? If yes please explain number of convictions, nature of offense, how recently you were convicted, sentence imposed, & other important facts.
     
     
     

Do you have a drivers license? Yes -- No What is your means of transportation?
License # State of Issue Expiration Date:  
Have you even been in the armed forces or national guard? Yes -- No Speciality and Discharge Date?

WORK EXPERIENCE (list most recent jobs first, if you were self employed list firm name
Employer Name of Supervisor Dates Employed (ex. 1/08-6/09) Pay or Salary
Reason for Leaving (be specific):
Jobs Held/Duties Performed:
         
Employer Name of Supervisor Dates Employed (ex. 1/08-6/09) Pay or Salary
Reason for Leaving (be specific):
Jobs Held/Duties Performed:
OTHER REFERENCES (cannot be relatives or previous employers)
Name: Phone: Email: Company:

Sometime it is difficult for an individual to summarize a complete background. Use the space below to give any additional information and describe your full qualifications and why you feel you would be a good fit for Lotus Cleaning Company.
         
By submitting this application you are in no way creating a contract for employment with Lotus Cleaning Co., merely submitting an inquiry. You are authorizing Lotus Cleaning Co. to investigate all statements and figures contained in this application and are also giving permission for Lotus Cleaning Co. to contact previous schools, employers and references unless noted in the additional comments section above. You understand that the company has a drug policy involving prescreening for employment and could include testing during employment. During the course of processing your application the company may contact a consumer reporting agency to gather information on your public records, credit and driving history, general reputation and mode of living.
If you agree to the above statement type your name here----> Date: