Job Application: Ground Level Window Cleaner

Fields marked with an asterisk (*) must be filled out before submitting.

First Name *
Last Name *

Address *
City *
Zip code *
Cell Phone *
Other Phone
Email address *
Applying for Full Time or Part Time? *

Current/Most Recent Employer *
City *
Supervisor Name *
Phone Number *
May we contact them for a reference? *
Starting Date: *
Ending Date *
Starting Pay *
Ending Pay *
Job Title *
Job Responsibilities *
Reason for Leaving *

Previous Employer *
City *
Supervisor *
Phone Number *
May we contact them for a reference? *
Starting Date *
Ending Date *
Starting Pay *
Ending Pay *
Job Title *
Job Responsibilities *
Reason for Leaving *

Previous Employer *
City *
Supervisor *
Phone Number *
May we contact them for a reference? *
Starting Date *
Ending Date *
Starting Pay *
Ending Pay *
Job Title *
Job Responsibilities *
Reason for leaving *

Vehicle Year, Make and Model *
Do you have a Valid Drivers License? *
Do you have Auto Insurance? *
How many points do you have on your license? *

Have you ever been convicted of a felony? *
If yes, please provide date, location, offense, and disposition.

How did you hear about this job? *
Why do you think you would be a good fit for this job? *
What do you do for fun? *

I certify that the answers given herein are true and complete to the best of my knowledge, and I understand that any false statements, misrepresentations, or material omissions made by me on this application will be sufficient grounds for immediate termination, if ever employed.
I have read, and agree with the above: *