Employment Application

QUALITY COMMERCIAL CLEANING SERVICES

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EMPLOYMENT APPLICATION

Equal Employment Opportunity (EEO): Multi-Clean hires solely on the basis of merit. Multi-Clean does not discriminate on the basis of race, color, religion, gender, age, national origin, physical or mental disability, veteran status, or any other legally protected status. Multi-Clean does not intend to use any question on this application for such discrimination. For this application to be considered valid it must be completed in ink.

APPLICANT INFORMATION
Name*
First Last
Address
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone*
Email*
Are you a citizen of the United States?*
- Yes
- No
Are you authorized to work in the U.S.?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Are you Native American?*
- Yes
- No
Have you worked under another name?*
- Yes
- No
Have you worked for Mulit-Clean or An-Mi?*
- Yes
- No
Do you speak English?*
- Yes
- No
Do you speak Spanish?*
- Yes
- No
EDUCATION
Please select your level(s) of education*
- High School
- College
- Other
REFERENCES

Please list three personal references, not including family members
Reference Name - 1*
First Last
Reference Phone - 1*
Reference Relationship - 1*
Reference Name - 2*
First Last
Reference Phone - 2*
Reference Relationship - 2*
Reference Name - 3*
First Last
Reference Phone - 3*
Reference Relationship - 3*
EMERGENCY CONTACT
Name*
First Last
Relationship*
Address*
Street Address Address Line 2 City State ZIP Code
Phone
CURRENT EMPLOYMENT
Are you currently employed?*
- Yes
- No
EMPLOYMENT HISTORY
Employer 1 - Name
Employer 1 - Address
Street Address Address Line 2 City State ZIP Code
Employer 1 - Job Description
Employer 1 - Supervisor Name and Phone Number
Employer 1 - Dates of employment
Employer 1 - Starting Salary and Ending Salary
Employer 1 - Job Duties
Employer 1 - May we contact your employer?
- Yes
- No
Employer 1 - Reason for leaving
Employer 2 - Name
Employer 2 - Address
Street Address Address Line 2 City State ZIP Code
Employer 2 - Job Description
Employer 2 - Supervisor Name and Phone Number
Employer 2 - Dates of employment
Employer 2 - Starting Salary and Ending Salary
Employer 2 - Job Duties
Employer 2 - May we contact your employer?
- Yes
- No
Employer 2 - Reason for leaving
Employer 3 - Name
Employer 3 - Address
Street Address Address Line 2 City State ZIP Code
Employer 3 - Job Description
Employer 3 - Supervisor Name and Phone Number
Employer 3 - Dates of employment
Employer 3 - Starting Salary and Ending Salary
Employer 3 - Job Duties
Employer 3 - May we contact your employer?
- Yes
- No
Employer 3 - Reason for leaving
MILITARY SERVICE
Have you ever served in the military?*
- Yes
- No
POSITION APPLYING FOR

Please note that all positions require the ability to perform repetitive movements and work consistently at a fast pace. Applicants must be able to bend at the knees and waist, twist the torso left and right, reach above the head and outward from the torso, grip objects securely with both hands, push and pull objects of substantial weight, lift a minimum of 10 pounds and stand for long periods of time.

*Long term hotel assignments require the ability to work on weekends and holidays.
Multi-Clean Positions*
- Janitorial
- Striping, Waxing & Buffing
- Carpet Cleaning
- Pressure Washing
- Multi-Clean Administrative Staff
An-Mi Positions*
- Hotel Housekeeping
- Hotel Laundry
- An-Mi Administrative Staff
SUPPLEMENTAL QUESTIONS
How did you hear about us?*
- Google Search
- Craigslist
- Facebook
- Employee Referral
- Hotel Referral
- Indeed.com
- Posted Flyer
Have you ever been fired or disciplined by an employer?*
- Yes
- No
Do you have your own transportation?*
- Yes
- No
Are you able to work evenings?*
- Yes
- No
Are you able to work weekends?*
- Yes
- No
Describe any special training or skills you have that are relevant to the position for which you are applying:
List any equipment with which you have experience that is relevant to the position for which you are applying:
DISCLAIMER & SIGNATURE
Date of application*
Date Format: MM slash DD slash YYYY
Signature*
First Last
Note: Typing your Name in the signature field constitutes your electronic signature.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I certify that I have read, fully understand and accept all terms of the foregoing applicant statement.
By using this form you agree with the storage and handling of your data by this website.*
- By using this form you agree with the storage and handling of your data by this website.

Tulsa: 5874 S 129th E Ave Tulsa, OK 74134 OKC: 5300 N Meridian Ave #10d Oklahoma City, OK 73112

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Office Hours

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Email Us

kevin@multiclean1.com

Employment Application

QUALITY COMMERCIAL CLEANING SERVICES