Application for Employment
Eagle Cleaning Service, Inc.
525 Belview Street
Bessemer, AL 35020
(205) 424-5252

 

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex color, race creed, national origin, religious persuasion, marital status, political belief or disability that does not prohibit performance of essential job functions.

I. PERSONAL INFORMATION
     
* Name: Last
* Present Address: Street
  City State Zip Code
* Telephone:
* Email Address:
* Date of Birth: Month Day Year (MM-DD-YYYY)
* Drivers License: DL Number State
  Expiration Date Month Day Year (MM-DD-YYYY)
* Social Security Number:
     
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
     
* Position Applied For:
     
* 1. Is there any information we would need about your name or use of another name for us to be able to check your work record?
Please Specify:
     
* 2. Do you have any relatives who are presently (or have formerly been) employed by Eagle Cleaning Service, Inc.?
If so, Whom?
     
* 3. How were you referred to Eagle Cleaning Service, Inc.?
     
* 4. Have you ever been convicted of a felony? (Yes or No)
If Yes, Please Explain:
   
II. EDUCATIONAL HISTORY
  School Name Location Years Completed-Degree/Diploma
Elementary/Jr High
High School
College
Tech Training
Other
   
III. EMPLOYMENT RECORD (Please list current or most recent employer first)
Company Name:
Position Held:
Dates of Employment:
Address:
Manager/Supervisor:
Telephone:
Wage/Salary:
Reason For Leaving:
   
Company Name:
Position Held:
Dates of Employment:
Address:
Manager/Supervisor:
Telephone:
Wage/Salary:
Reason For Leaving:
   
Company Name:
Position Held:
Dates of Employment:
Address:
Manager/Supervisor:
Telephone:
Wage/Salary:
Reason For Leaving:
   
Note: We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for exclusion.
Employers Name:
Reason:
   
Employers Name:
Reason:
   
IV. REFERENCES (Please do not include relatives or former employers)
* Name: * Years Known:
* Address: * Telephone:
* Occupation:
   
* Name: * Years Known:
* Address: * Telephone:
* Occupation:
   
* Name: * Years Known:
* Address: * Telephone:
* Occupation:
   
V. WORK AVAILABILITY
* 1. If your application receives favorable consideration, when will you be available to begin work?
* 2. Can you work with a short prior notice? (Yes or No)
* 3. Can you work on Saturday? (Yes or No)
* 4. Can you travel if required by this position? (Yes or No)
* 5. Do you prefer day or evening work? (Day or Evening)
 
VI. SALARY/HOURLY RATE REQUIREMENTS
* If your application receives favorable consideration, what salary/hourly rate would you require?
$ per

* Denotes required fields