APPLICATION FOR EMPLOYMENT

Application for Employment (LMX)

Personal Information

Desired Status *
At least 18 years old? *
Able to work nights? *

PLEASE INDICATE THE HOURS YOU ARE AVAILABLE TO WORK

Have you ever worked for Clean Rite Center in the past? *
Dates
Have you ever applied for a position with Clean Rite Center in the past? *
Dates
Do you have any relatives currently employed by Clean Rite Center? *
Name/Title

Work Experience

List previous experience beginning with current or most recent position
Status
May we contact this employer?
Status
May we contact this employer?
Status
May we contact this employer?

Professional References

Please provide two business or professional references. Do not list relatives.
REFERENCE #1
REFERENCE #2
REFERENCE #1
REFERENCE #2
REFERENCE #1
REFERENCE #2
REFERENCE #1
REFERENCE #2

Education and Training

HIGH SCHOOL
COLLEGE
ADDITIONAL TRAINING
HIGH SCHOOL
COLLEGE
ADDITIONAL TRAINING
HIGH SCHOOL
COLLEGE
ADDITIONAL TRAINING
HIGH SCHOOL
COLLEGE
ADDITIONAL TRAINING
Referral Source *

Additional Personal Information

Will you be engaged in other business or employment if employed by Clean Rite Center? *
Details

Permission to Work

All hires are required to provide proof of identity and legal authorization to work in the United States
Are you legally authorized for employment in the United States?

Applicant Certification and Authorization

IMPORTANT: CAREFULLY READ THE FOLLOWING INFORMATION BEFORE SIGNING
I certify that the facts set forth in my application for employment are true and complete. I understand that if employed, false or incomplete statements or any misleading or incorrect information given on this application shall be considered sufficient cause for dismissal. I authorize Clean Rite Center to contact any of my previous employers, as well as any other credit or reference source in order to verify facts and information that I have furnished regarding my qualifications. I hereby release from liability all persons and organizations furnishing references or other information. I understand that the completion of this application is not to be construed as an express or implied contract of employment or guarantee leading to employment. I understand that completion of this application does not mean that there is an available position, and that use of this application in no way obligates Clean Rite Center. Furthermore, I understand that my term of employment, if hired, shall be for no definite period and shall be at-will. I acknowledge that no employee of the company other than the President of Clean Rite Center has any authority to enter into employment contracts. I understand that this application for employment will be considered active for 60 days from the date it is submitted, and that after this time a new application must be completed.