First Name
Last Name
EMAIL
Cell
Cell Carrier:
Present ADDRESS
Is this also your mailing address?
Have you lived at this address for more than 5 years?
Emergency Contact:
Emergency Phone:
Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.?*
*Verification and completion of the I-9 form must be submitted no later than 3 business days after hire.
Driver's License #:
State Issued:
Driving is a requirement of the job. Is your license valid?
Do you have full time access to a vehicle?
Is your vehicle in good working condition?
Is the vehicle covered by liability insurance?
Insurance Company:
Policy Number:
Make of Vehicle:
Model:
Year:
Are you able to lift 25 pounds or more?
Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties?
Are you allergic to Household Chemicals?
Are you allergic to cats and/or dogs?
Are you afraid of cats and/or dogs?
Why are you interested in working for DMC Cleaning?
Why do you think you are a good fit for this company?
Can you share one of your key strengths?
What is one area where you feel you have room for improvement?
How do you perform when working as part of a team?
How well do you manage tasks independently?
How open are you to learning new skills and receiving training?
How long do you see yourself working here?
Can you go without smoking for 4 hours?
(hint: there is no “right or wrong” answer, we just want to know you better in order to fill your schedule)
What hours are you available to work on the following weekdays?
Mon
Tues
Wed
Thurs
Fri
If hired, when can you start work?
Are you presently employed?
List below your last three employers, starting with your present or last place of employment. You may include in such history any verified work performed on a volunteer basis.
Name & Address of Employer
Reason for Leaving
Employed To - From, Dates
Supervisor Name
Supervisor Phone
Name & Address of Employer
Reason for Leaving
Employed To - From, Dates
Supervisor Name
Supervisor Phone
Name & Address of Employer
Reason for Leaving
Employed To - From, Dates
Supervisor Name
Supervisor Phone
Education
High School
College
Trade, Business
Grad School
School Name & Location
Highest Grade Completed
High School (9th)
High School (10th)
High School (11th)
High School (12th)
GED
College (1 year)
College (2 year)
College (3 year)
College (4 year)
Trade School Completed
Note: Due to the security-sensitive nature of the job, all employees are required to be bonded. As a matter of policy, the company conducts a police background and driving record check on any applicant in consideration of hiring.
Have you ever been convicted of a criminal offense?
Have you ever been bonded?
Has your driver’s license ever been suspended?
List the names of three persons not related to you, whom you have known at least three years.
Name
Occupation:
Phone
Full Address
Name
Occupation:
Phone
Full Address
Name
Occupation:
Phone
Full Address
Do you know, or are you related, to anyone who works for Dmc Cleaning?
Please attach your resume (max. file size 8mb). we accept .doc, .docx, .txt, . pdf, .jpg, .jpeg, .png
