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HI-PRO Cleaning Employment Application

Please complete all applicable sections. Applications are reviewed in the order received.

Applicant Information

First Name * Last Name * Date of Birth Address City State Zip Code Phone Number * Email Address * Emergency Contact Name Emergency Contact Phone Relationship

Position Details

Position Applying For

Onsite Lead Custodian

Available Start Date Desired Schedule

Full-Time Part-Time Weekends Nights

Authorized to Work in the U.S.?

Yes No

Reliable Transportation?

Yes No

Willing to Travel to Multiple Job Sites?

Yes No

Able to Lift 30-50 lbs?

Yes No

Work Experience

Most Recent Employer Position Held Dates Employed Supervisor Name Supervisor Phone Reason for Leaving

Cleaning Experience

Commercial Cleaning Experience?

Yes No

If Yes, Please Describe Equipment Experience

Floor Scrubber Carpet Extractor Buffer Vacuum Mop/Bucket

Background Information

Have You Ever Been Convicted of a Crime?

Yes No

If Yes, Please Explain Willing to Undergo a Background Check?

Yes No

Willing to Undergo Drug Testing?

Yes No

Availability

Days Available

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Hours Available

Morning Afternoon Evening Overnight

Skills & Certifications

OSHA Awareness Bloodborne Pathogens Janitorial Experience Warehouse Cleaning Office Cleaning Move-In/Move-Out Cleaning High Dusting Window Cleaning

Other Skills

Resume Upload

Upload Resume (PDF, DOC, DOCX)

References

Reference #1 Name Reference #1 Phone Reference #1 Relationship Reference #2 Name Reference #2 Phone Reference #2 Relationship

Acknowledgment & Signature

Applicant Signature (Type Full Name) Date

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