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Power Washing and Graffiti Removal

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Job Application

Personal Information

Applicant Name *

First

Last

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Applicant Email *

Email

Confirm Email

Applicant Phone *

Applicant Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Education Level *

Employment History

Have you ever worked before? *

Yes
No

Do you currently work? *

Yes
No

Current Employer

Current Employer *

Do we have permission to contact your current employer for a reference? *

Yes
No

Phone *

Job Title *

Job Duties *

Start Date *

Reason for Leaving *

Previous Employer

Previous Employer *

Do we have permission to contact your previous employer for a reference? *

Yes
No

Phone *

Job Title *

Job Duties *

Start Date *

End Date *

Reason for Leaving *

Do you have another job to enter? *

Yes
No

Previous Employer

Previous Employer *

Do we have permission to contact your previous employer for a reference? *

Yes
No

Phone *

Job Title *

Job Duties *

Start Date *

End Date *

Reason for Leaving *

Personal References

Reference Name *

First

Last

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Reference Email

Email

Confirm Email

Reference Phone *

Reference Name *

First

Last

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Reference Email

Email

Confirm Email

Reference Phone *

Reference Name *

First

Last

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Reference Email

Email

Confirm Email

Reference Phone *

Availability Questions

List the days of the week you are available: *

List hours or shifts you are available to work: *

If needed are you available to work overtime? *

Yes
No

What date can you start if hired? *

Employment Questions

How did you hear about this position? *

Do you have any experience in pressure washing? *

Yes
No

Please Explain *

Do you have a license? *

Yes
No

Please Explain *

Do you have reliable transportation? *

Yes
No

Please Explain *

Do you have a clean driving record? *

Yes
No

Please Explain *

Are you 21 years old? *

Yes
No

When will you turn 21? *

Are you a U.S. Citizen or authorized to work in the United States? *

Yes
No

Please Explain *

Have you ever been convicted of a criminal offence (felony or misdemeanour)? *

Yes
No

If yes, please describe the nature of the crime(s), when and where convicted and disposition of the case *

Supporting Documents

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Attach Resume/CV

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Attach Cover Letter

Click or drag a file to this area to upload.

Authorizations

Do you authorize a background check as part of the employment? *

I consent

Do you authorize a drug screening as part of the employment? *

I consent

Do you authorize us to get your driving record as part of employment? *

I consent

Applicant Signature *

Date of Application *

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Deep River, CT 06417
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