Application Part 1

Name

Email

Phone Number

What position are you applying for?

Address
Street, City, State & Zip Code

Characters left: 100/100

Area of Employment

Have you ever applied for employment at Patton Building Services before?

Yes‎ No‎

Are you legally eligible for employment in this country?

Yes‎ No‎

If you are under 18 years old, can you furnish a work permit if needed?

Yes‎ No‎

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Do you have experience cleaning offices?

Yes‎ No‎

If "Yes", with whom did you get this experience?

Do you have experience stripping, sealing, and waxing floors?

Yes‎ No‎

If "Yes", with whom did you get the experience?

Do you have your own transportation

Yes‎ No‎

Do you have a driver's license?

Yes‎ No‎

Do you prefer working:

Alone‎ With a Team‎ Either‎

Do you prefer working:

Evening Shift‎ Day Shift‎ Either‎

How many hours a week are you interested in working?

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Employment History: (Business, Location, Phone Number, Contact Person, Work Dates, Job Title, Brief Description of your Duties, & Reason for Leaving)
Include your last 2 places of employment.

May we contact your current employer as a reference?

Yes‎ No‎

Educational Background for High School & College: Name, Years Compeleted, Did you graduate?

List other training, skills, licenses and certificates that may qualify you to perform job-related functions in the positition for which you are applying:

Professional References: Name, Telephone Number & Years known

How did you find out about our company and this job?

I just saw the office and walked in.‎ I saw your website on the internet.‎ School teacher or counsellor‎ Government Employment Agency‎ Private Employment Agency‎ Newspaper advertisement‎ Someone else who works here (or used to work here) told me about it.‎

If you found out about our company or this job through an employee, who is the employee?

Signature of Applicant: • I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for immediate termination of employment, when it is discovered. • I give the employer the right to contact and obtain information from all references and previous employers I have listed, in order to verify the information I have provided. I hereby release from liability, the employer and its representatives, for seeking and using such information and all other persons and organizations for furnishing such information. • I understand that the employer does not unlawfully discriminate in employment and that none of the questions on this application are used for the purpose excluding any applicant from consideration for employment on a basis prohibited by law. • I understand that if I am hired, I may resign at any time, and that the employer has the same right to terminate my employment at any time, with or without cause and without prior notice. This application does not constitute an offer of employment for any specified period. I understand that no representative of the company has the authority to make assurances to the contrary, except the president of the company and then, such assurances must being writing and signed by the president. • I understand it is not this company’s policy to refuse to hire a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA. • I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization. • I have read and understand this and seek employment under these conditions.

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