Mass Commercial Cleaning Services industrial and commercial contract cleaning
413-586-4696
508-347-3337

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commercial cleaning 
Application for Employment

Applicants for employment are considered without regard to race, color, religion, sex, marital status, national origin, age, or handicap. Also it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Position Applying for Desired Salary

Referral  Source: Advertisement  Friend  Relative Walk – in Other
If other please specify

First Name
  
Last Name
Address
 
City
State
Zip Code
Telephone
-
Email Address

Are You Under 18? YES NO

If employed and under 18,
Can you furnish a work permit? YES NO

Have you filled an application here before? YES NO
If yes, give date

Have you ever been employed here before?  YES NO
If yes, give date
 
Are you employed now?  YES NO
May we contact your present employer?  YES NO

Are you a U.S. citizen? YES NO
If no, do you possess a valid work permit? YES NO

(Proof of citizenship or immigration status may be required upon employment.)


On what date would you be available to work?

You are available to work  Full Time  Part Time Overtime

Are you on lay-off and subject to recall? YES NO

Can you travel if a job requires it? YES NO

AN EQUAL OPPORTUNITY EMPLOYER

Education and References


Name

City
State

Major
Course of Study

Years
Completed:
Circle

Date
Completed

Diploma
Or
Degree

Scholasstic
Average

High School or Preparatory

,

1 2 3 4

College

,

1 2 3 4

Specialized Training

,

1 2 3 4

Honors Received:

Are you a veteran of the U.S. Military Service? YES NO

If yes, branch 

Please describe any special skills or training aquired while in the service.

Rate how well you speak, read, and / or write any foreign languages.
Specify Language (i.e., Spanish, French)
Speak Fluent Good Fair
Read Fluent Good Fair
Write Fluent Good Fair

REFERENCES
Give name, address, and telephone number of three references who are not related to you and are not previous employers.

Reference 1
Name-Address-Telephone
Reference 2
Name-Address-Telephone
Reference 3
Name-Address-Telephone

EMPLOYMENT EXPERIENCE

Start with your present or last job.  Include military service assignments and any verified work performed on a volunteer basis.  Exclude organization names that indicate race, religion, sex, or national origin.

EMPLOYER 1
Dates Employed
Employer Name

Job Title

dd/mm/yyyy to

dd/mm/yyyy
Employer Address Supervisor Name& Phone
Hourly Rate/Salary Work Performed:
Reason for Leaving:
Starting Final
EMPLOYER 2
Dates Employed
Employer Name

Job Title

dd/mm/yyyy to

dd/mm/yyyy
Employer Address Supervisor Name& Phone
Hourly Rate/Salary Work Performed:
Reason for Leaving:
Starting Final
EMPLOYER 3
Dates Employed
Employer Name

Job Title

dd/mm/yyyy to

dd/mm/yyyy
Employer Address Supervisor Name& Phone
Hourly Rate/Salary Work Performed:
Reason for Leaving:
Starting Final
EMPLOYER 4
Dates Employed
Employer Name

Job Title

dd/mm/yyyy to

dd/mm/yyyy
Employer Address Supervisor Name& Phone
Hourly Rate/Salary Work Performed:
Reason for Leaving:
Starting Final

Special Skills and Qualifications
Summarize special skills and qualifications acquired from employment or other experience:

NOTICE TO APPLICANTS

United States law (immigration Reform And Control Act of 1986) forbids the company from hiring any person who is not a United States citizen or an alien who is specifically allowed by the U.S. government to work in the United States.

            If you are not authorized to work in the United States please do not apply.  We hire only U.S. citizens and those aliens who are permitted by the United States government to work in the United States.

No one that we hire will be allowed to work until:

  1. They sign a sworn statement that they can legally work in the United States, and
  2. They show us the original and give us a copy for our files of a birth certificate, social security card, driver’s license with photograph, photograph identification issued by the State, U.S. Passport, Certificate of Citizenship or Naturalization, resident alien card (“green card”) or other identification documents approved by the U.S. government.

Making a false oath or giving us false papers to get a job is punishable by jail and a possible fine.

Our application papers may be inspected by the U.S. Immigration Service and the U.S. Department of Labor.

SEALED RECORD NOTICE

Applicants having sealed conviction records on file with the Commission of Probation may answer “no record” to the following questions:

Within the past five years, have you been convicted of a misdemeanor?  (Applicants may answer “no” with respect to a first conviction for drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace.)

YES NO

If yes, please explain

Have you ever been convicted of a felony?   YES NO

If yes, please explain

 

BY SUBMITTING THIS FORM I understand the terms of this form and agree to the following:

I certify that the information on this application is true, complete and correct.  I authorize the investigation of my past employment, education and activities and I release from all liability all persons, companies and corporations supply such information.  I understand that false answers or statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.