Apply For Employment – City Wide Jani Inc.

APPLICATION FOR EMPLOYMENT

Commercial Cleaning Services Company

City Wide Jani is an Equal Opportunity Employer.
If applicable, reasonable accommodation under the Americans with Disabilities Act will be provided as required by law.

First Name (required)

Last Name (required)

Middle Initial

Street Address (required)

City/State (required)

Zip Code (required)

Phone Number (required)

Email Address

Social Security Number (required)

Date of Birth? (required)

Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
If hired, can you provide evidence of legal eligibility to work in the U.S.? (required) YesNo

Your answer to the previous answer must be "yes" in order to continue. Feel free to contact City Wide Jani Inc. at (773) 643 - 7000 with questions regarding this requirement.

Position Desired:

Wage/Salary Desired:

Availability?
Full-TimePart-Time

Date you can begin work?

- - EDUCATION - -

High School Name:

High School City/State

Graduated? or Received GED?

College or Technical School Name:

City/State

Graduated? If yes, Degree received?

Are you presently enrolled in school?
YesNo

If yes, give name & address of school and expected degree date:

List any job-related skills or accomplishments, including military service:

- - AVAILABILITY - -

Monday Availability:

Tuesday Availability:

Wednesday Availability:

Thursday Availability:

Friday Availability:

Saturday Availability:

Sunday Availability:

Total hours per week you are available to work:

Do you have any special requests or needs for a work schedule?

- - REFERENCES - -

Give 3 References That Are Not Former Employers Who We May Contact:
(Please include Name and Occupation, How do you know them, and for how long & Phone Numbers)

- - EMPLOYMENT HISTORY - -
List names of employers with present or last employer listed first.
Please note if we may not contact your present employer until after you are offered a position.

Name of Employer:
Job Title:
Duties:
Address:
Dates of Employment:
Starting pay:
Ending pay:
Supervisor:
Telephone:
Reason for Leaving:

CAREFULLY READ EACH OF THE FOLLOWING STATEMENTS

I certify that all of the information provided in this employment application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check and drug test. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I understand and acknowledge that unless otherwise defined by applicable law or written agreement with City Wide Inc., any employment relationship with the City Wide Inc., is considered “employment at will.” This means the Employee may resign at any time and the Employer may discharge the Employee at any time, with or without cause, and with or without advance notice.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I have read, understand, and agree to the above statements. YesNo

Do you consent to a drug test? YesNo

Do you consent to a background check? YesNo

Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation? YesNo

All questions in this box must be answered "yes" in order to "Submit Application". Feel free to contact City Wide Jani Inc. at (773) 643 - 7000 with questions regarding this requirement.