Midnight Janitorial of Rochester, NY is an equal opportunity employer, always seeking high energy good people.
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Are you over 21? YesNo
For the purpose of compliance with the United States Immigration and Nationalization Act: Are you legally eligible for employment in the United States? YesNo
Were you previously employed by Midnight Janitorial, Inc.? YesNo
Do you have a valid drivers license? YesNo
Have you ever been fired or resigned from a position after being notified you would be fired? YesNo
Please select the boxes that correspond to the evenings that you are available to work: MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Can you read and understand instructions written in English? YesNo
Do you have dependable transportation of your own? (Bus transportation does not qualify) YesNo
Are you related to anyone employed by Midnight Janitorial, Inc.? YesNo
Do you have prior cleaning experience? YesNo
Please give the names of 3 persons NOT related to you, whom you have known at least one year.
Reference #1: Name
Reference #1: Phone Number
Reference #1: Years Known
Reference #1: Occupation
Reference #2: Name
Reference #2: Phone Number
Reference #2: Years Known
Reference #2: Occupation
Reference #3: Name
Reference #3: Phone Number
Reference #3: Years Known
Reference #3: Occupation
Place of Employment
Address
Name of Supervisor
Phone Number
Name
Relation
Phone
High School Name & Location
High School Start Date
High School End Date
Degree
Area of Study / Other Notes
College Name & Location
College Start Date
College End Date
Additional College Name & Location
Additional College Start Date
Additional College End Date
Business / Trade School Name & Location
Business / Trade School Start Date
Business / Trade School End Date
If you expect to complete an educational program in the near future, please indicate what type of degree and when you expect to receive it:
Employer Name
Employer Address
Employer Phone Number
Position Held
Dates of Employment
Supervisor
I cetify that the statements in this application are true and complete to the best of my knowledge, and I agree that misstatement or omission will constitute grounds for unfavorable consideration of my application or dismissal from Midnight Janitorial, Inc. I authorize Midnight Janitorial, Inc. to obtain information from past employers and other on this application, including a review of my educational, criminal and credit records, as appropriate.
You may contact my PRESENT employer YesNo
I understand and agree that my employment is for no definite period and may, regardless of the date of payment of terminated at any time without any previous notice. I understand that upon being hired I will be subject to a background check.
Today's Date
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