Name *

First Name

Last Name

DOB *

MM

DD

YYYY

Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

*

Are you legally elible to work in the U.S.?

YES

NO

*

Do you have a valid driver's license?

YES

NO

*

Do you have your own transportation?

YES

NO

Availability *

Days of the Week (Please check all days you are available to work)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

*

Time of Day (Please select all that you are available to work)

Morning (6am-12pm)

Afternoon (12pm-6pm)

Evening (6pm-11pm)

Overnight (11pm-6am)

*

Position (Check all the apply)

Part Time

Full Time

Project Based

*

When are you able to start work?

MM

DD

YYYY

Experience *

Do you have any prior janitorial or commercial cleaning experience?

Yes

No

*

Do you have your own cleaning supplies?

Yes

No

Background & Consent *

Have you ever been convicted of a felony or misdemeanor?

Yes

No

*

Do you certify that the information in this application is true and complete. By certifying you understand that false statements may disqualify you from employment or lead to dismissal. You also authorize Crenshaw Janitorial to verify all information provided and conduct a background check on your behalf.

Yes

No