EMPLOYMENT OPPORTUNITIES

Looking for employment in Warrensburg, Clinton, Sedalia, or Warsaw, Missouri?  Complete the form below to be considered for an interview.

Name:  *
Email:  *
Address:
City:
ZIP:
Phone:  *
Mobile:
Are you legally entitled to work in the U.S.?	Yes  No
	.
What date are you available to start work?
Have you ever been convicted of a criminal offence including misdemeanors?	Yes  No
I will agree to a criminal background and/or state police check:	Yes  No
Are you 18 years of age or older?	Yes  No
Do you have reliable transportation?	Yes  No If yes please tell us how you will get to work:
Are you currently employed?	Yes  No
Current Employer:
Company:
Dates of employment:
Supervisor name:
Phone:
Previous Employment:
Company:
Dates of employment:
Supervisor name:
Phone:
What relative experience do you have?	Commercial Cleaning/Janitorial Post Construction Cleaning Residential Cleaning Painting Parking Lot Striping Maintenance/Repair Power Washing or Steam Cleaning Window Cleaning (Professional Only)
Please explain experience
If you are applying for a maintenance or painting position please describe tools you own.
How many hours per week are you able to work?	Less than 15 hours per week 15-20 hours per week 20-30 hours per week 30-40 hours per week Any hours available
Days and times you are available for work	Mondays:
	Tuesdays:
	Wednesdays:
	Thursdays:
	Fridays:
	Saturdays:
	Any days and hours	Any days/hours If you checked yes please provide more info:
I will agree to substance abuse testing and understand that COMPANY NAME reserves the right to perform random drug screenings at the companies expense:	Yes  No
How were you referred to us?
Briefly tell us about yourself: