GENERAL INFORMATION


Your First Name *

Your Last Name *

Your Email *

Current Address *

Address 1


Address 2


City, State, Country


ZIP/Postal Code

Can you provide proof that you can be lawfully employed in the U.S.? *
YesNo

We check criminal records of applicants. Does your record include any convictions, guilty pleas *
This company routinely checks the criminal background of applicants. A conviction does not necessarily disqualify an application.
YesNo

Year and explanation for any convictions, guilty pleas *

EMPLOYMENT DESIRED


Position you are applying for *

Date you can start *

Wage desired *

How many hours can you work per night? *

How many hours can you work per week? *

Are you currently employed? *
YesNo

What is your work schedule? We need your daily start and end times *

Have you been unemployed longer than 6 months? *
YesNo

If unemployed longer than 6 months, please explain *

Do you have reliable transportation? *
YesNo

What is your mode of transportation? *

Do you use a smartphone that you would be willing to use for clocking in and out?
For your convenience, Aspen Maintenance uses an app called Tsheets for timekeeping purposes. If you do not have a smartphone, you will need to clock in and out from your account's land line.
YesNo

Any additional comments about the position you are applying for?
Include any questions you may have in this section.

EDUCATION


Highest form of education achieved *

Year completed *

Do you have any other janitorial experience? *

FORMER EMPLOYERS
PLEASE GIVE AT LEAST 5 YEARS OF EMPLOYMENT HISTORY


May we contact your current employer? *
YesNoI'm not currently employed

CURRENT OR MOST RECENT EMPLOYER
(IF NO HISTORY, ENTER "NA" IN EACH REQUIRED FIELD.)

From *
month and year

To *
month and year

Name and Location of Company *

Supervisor's Name and Telephone Number *

Your Position *

Reason for leaving *

Do you have a second most recent employer to include?
PLEASE GIVE AT LEAST 5 YEARS OF EMPLOYMENT HISTORY.
YesNo

SECOND MOST RECENT EMPLOYER

From
month and year

To
month and year

Name and Location of Company

Supervisor's Name and Telephone Number

Your Position

Reason for leaving

Do you have a third most recent employer to include?
PLEASE GIVE AT LEAST 5 YEARS OF EMPLOYMENT HISTORY.
YesNo

THIRD MOST RECENT EMPLOYER

From
month and year

To
month and year

Name and Location of Company

Supervisor's Name and Telephone Number

Your Position

Reason for leaving

REFERENCES
LIST THE NAMES OF TWO PEOPLE NOT RELATED TO YOU WHO YOU HAVE KNOWN FOR AT LEAST ONE YEAR


FIRST REFERENCE

Name *

Their phone number *

Years acquainted *

Connection to you *

SECOND REFERENCE

Name *

Their phone number *

Years acquainted *

Connection to you *

AGREEMENT
APPLICATIONS THAT ARE NOT COMPLETE AND/OR QUESTIONS NOT FULLY ANSWERED MAY NOT BE CONSIDERED FOR EMPLOYMENT. FALSE OR MISLEADING INFORMATION OR SIGNIFICANT OMISSIONS MAY DISQUALIFY THE APPLICANT FROM CONSIDERATION AS WELL AS DISMISSAL IF HIRED.

BY CLICKING SUBMIT, I HEREBY AFFIRM THAT THE INFORMATION PROVIDED ON THIS APPLICATION IS TRUE AND COMPLETE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION INCLUDING CONTACTING PAST EMPLOYERS REGARDING WORK RECORD. I RELEASE AND HOLD HARMLESS AND PROMISE NOT TO CLAIM DAMAGES FROM ANY OF MY PRIOR EMPLOYERS LISTED ABOVE WHO HAVE PROVIDED INFORMATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PREVIOUS NOTICE. I AGREE TO SUBMIT TO ANY DRUG OR ALCOHOL TESTING THAT MAY BE REQUIRED BY THE EMPLOYER FOR MY HIRE OR CONTINUED EMPLOYMENT. I UNDERSTAND THAT REFUSAL TO TAKE SUCH TESTS MAY BE CAUSE FOR DENIAL OF EMPLOYMENT OR TERMINATION. I ALSO UNDERSTAND THAT EMPLOYMENT MAY BE CONDITIONAL UPON AN INVESTIGATION INTO ANY CRIMINAL CONVICTION ON RECORD WITH LOCAL, STATE, OR FEDERAL LAW ENFORCEMENT AUTHORITIES. I UNDERSTAND THIS APPLICATION IS NOT A CONTRACT.