Job Application: Window Cleaner

Title: Window Cleaner

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

Personal Details

First Name *
Last Name *

Contact Details

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

Education

High School (Name & City) *
College (Name & City)
Other (Name & City)

Employment History

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 *
 

Emergency Contacts

Emergency Contact #1

Name, First and Last *
City *
Relationship *
Phone Number *

Emergency Contact #2

Name, First and Last *
City *
Relationship *
Phone Number *

Vehicle Information

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? *
 

Criminal History

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

Additional Information

How did you hear about this job?
Is there any other information you would like to add?
 

Please read:

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: *