Employment

Employment Application

Thank you for your interest in employment with Janico Building Services. We are an equal opportunity employer and do not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, sexual orientation, national origin, disability or handicap, or veteran status.

Note: Incomplete applications will not be considered.


PERSONAL
Full Name*

Address

City
State


Zip

Phone Number*

Email*

Position Sought

Preferred
Hours

Part Time
Full Time
Days
Available

Sun
Mon
Tues
Wed
Th
Fr
Sat
Hours Available

How many miles are you willing to commute to work?


Date Available

Salary Desired

Social Security Number (last 4 digits)

Are you over 18 yrs old?

Yes
No
Are you legally eligible for employment in the United States? (If offered employment, you will be required to provide documentation to verify eligibility.)

Yes
No
EDUCATION
High School
(yrs completed)

1
2
3
4
Diploma

Yes
No
GED

Yes
No
Not Applicable

School(s)
(include city/state)



College
(yrs completed)

1
2
3
4
College(s)
(include city/state)


Major

Degrees Earned

Other School(s)
(include city/state)


Course(s)



Degrees/Certificates


SKILLS
Janitorial Experience


Office


Equipment Used


Software Skills


Machinery Experience


Referred by Janico employee?

Yes
No
If Yes, Who?


RECORD OF CONVICTION
(A conviction will not necessarily automatically
disqualify you for employment. Rather, such factors as
age and date of conviction, seriousness and nature of the
crime, and rehabilitation will be considered).
During the last ten years, have you ever been convicted of a crime other than minor traffic offenses?

Yes
Felony
Misdemeanor

No
If yes, Please Explain


EMPLOYMENT HISTORY
Provide ten years of history, beginning with your current or last employer first.
May we Contact Your Present Employer?

Yes
No
If any employment was under a different name, indicate name
Employer
Address
Telephone
Job Title
Dates of Employment:

From:
(mo/yr)
To:
(mo/yr)
Salary
Supervisor
Job Duties
Hours


Full Time
Part Time
Reason For Leaving
Employer
Address
Telephone
Job Title
Dates of Employment:

From:
(mo/yr)
To:
(mo/yr)
Salary
Supervisor
Job Duties
Hours


Full Time
Part Time
Reason For Leaving
Employer
Address
Telephone
Job Title
Dates of Employment:

From:
(mo/yr)
To:
(mo/yr)
Salary
Supervisor
Job Duties
Hours


Full Time
Part Time
Reason For Leaving
PROFESSIONAL REFERENCES
(No friends or relatives)
Name
Address
Phone
Name
Address
Phone
Name
Address
Phone

APPLICANT’S CERTIFICATION AND AGREEMENT

I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements and references contained in this application for employment as may be necessary in arriving at an employment decision.

I understand that I may need to consent to a background check, credit check and drug test in the event that I am conditionally offered employment and refusal to consent to such checks and tests will result in a revocation of my employment offer.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

I understand that this application will remain active for thirty (30) days after which time a new application will need to be completed for further consideration.