Join Our Team - PUR ECO Friendly Cleaning

PERSONAL INFORMATION

Name*

First Middle Last

Address*

Phone Number*

Email*

Are you eligible to work in the United States?*

Yes
No

Are you over 18 years old?

Yes
No

If yes, please explain.

POSITION AVAILABILITY

Postion Applying For*

Days/Hours Available*

Date Available to Start Work*

EDUCATION

Education*

EMPLOYMENT HISTORY

Current or Last Position

Employer

Address

Supervisor

Phone

Email

Position Title

Dates of Employment

Reason For Leaving

Responsibilities

Salary

May we contact this employer?

Yes
No

Previous Position

Employer

Address

Supervisor

Phone

Email

Position Title

Dates of Employment

Reason For Leaving

Responsibilities

Salary

May we contact this employer?

Yes
No

CHARACTER

Personal/Professional References

Name/Phone

What makes you a good fit for a cleaning position?

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Signature*

Your name again, same as at the beginning of the form