Application


PERSONAL INFORMATION

Name:
Date of  Birth:

Address:
City:

Phone:
  
Present Working Hours:

 We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, or any other legally protected status.


Position(s) Applied For:
Date Of Application:
Are you at least 18 years of age?  

Do you know someone that works here?  

Do you have reliable transportation?  

Do you have a valid driver’s license?  

Are you legally eligible for employment in the United States?  

Do you have any health problems that may affect your job performance?  



Are you currently on “lay-off” status and subject to recall?  

Have you ever been bonded?  



Have you ever filed a workmen’s compensation claim?  



Have you ever been convicted of a felony or any type of theft?  



If any, what days, nights, and hours are you NOT available to work?  



Are you looking for a temporary job?  

Are you looking for a permanent job?  

Date available for work:

Best time to contact you:
Desired salary range:
Desired number of hours per week:


EMPLOYMENT HISTORY

Please give accurate, complete, full-time and part-time employment record. Start with your present or most recent employer. You may attach a resume but not in place of completing the following information.

Employer:
  
Address:
Phone:

Job Title:
Supervisor:
Reason for leaving:
  
Dates Employed:from  to
Starting hourly rate/salary:
Ending hourly rate/salary:
Employer:
  
Address:
Phone:

Job Title:
Supervisor:
Reason for leaving:
  
Dates Employed:from  to
Starting hourly rate/salary:
Ending hourly rate/salary:
Employer:
  
Address:
Phone:

Job Title:
Supervisor:
Reason for leaving:
  
Dates Employed:from  to
Starting hourly rate/salary:Ending hourly rate/salary:


EDUCATION

 Name & Address
Course of Study
Years Completed
Diploma or Degree
HIGH SCHOOL:



COLLEGE:



OTHER:





ADDITIONAL INFORMATION

Other Qualifications:
 

 
  
Job related equipment you are experienced in operating:
 

 
  
Extra-curricular activities:
 

 


REFERENCES

Name:
Name:
Name:
Phone:
Phone:
Phone:
Address:
Address:
Address:


CERTIFICATION & AUTHORIZATION

The information I have given in this application is true and correct. I understand that, in the event of my employment by Hawkeye Cleaning Services LLC, I shall be subject to dismissal if any information that I have given is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.

I authorize Hawkeye Cleaning Services LLC to inquire into my educational and past employment references and any criminal history to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Hawkeye Cleaning Services LLC and will hold Hawkeye Cleaning Services LLC and my former employers harmless from any claim made on the basis of such information. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the company is intended to create an employment contract between myself and Hawkeye Cleaning Services LLC. On the contrary I understand and agree that, if hired, my employment well be terminable at will and may be terminated by me or Hawkeye Cleaning Services LLC at any time and for any reason.

I hereby acknowledge that I have read and agree to the above statements.


Name:
Date:


Hawkeye Cleaning Services, LLC ~ 531 S 29th St #3  Fort Dodge, IA 50501-5503 ~ (515) 955-3111