Employment Application

First Name *

Middle Initial

Last Name *

Former Last Name

Social Security Number

Email Address

Cell Phone Number *

Work Phone Number

Current Address 01 *

Current Address 02

Current City *

Current State *

Current Zip *

Prior Address 01

Prior Address 02

Prior City

Prior State

Prior Zip

What prompted you to apply to Classic Cleaners *

If you choose "Other", please describe *

Why would you like to work for Classic Cleaners?

Application Notes

This application form is intended for use in evaluating your qualifications for employment. This application form is not an offer of employment. If I am hired, I understand that either Classic Cleaners or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Classic Cleaners has the authority to make any assurance to the contrary.

Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state or local laws.

Availability

For which position are you applying? *

What date can you start? *

* reasonable efforts will be made to accommodate sincerely held religious beliefs and practices

Job Related Skills

Note: Do not fill out any part of this section you believe to be non-job related

If the job requires, do you have the appropriate drivers license? *

Yes

No

Name on license

Drivers License #

Type

State of Issue

Have you had any moving violations within the last seven years?

Yes

No

If Yes, please describe

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company

Have you been given a job description or had the essential functions of the job explained to you?

Yes

No

Do you understand these essential functions?

Yes

No

Can you perform the essential functions of this job with or without reasonable accommodations?

Yes

No