Application for Employment

EQUAL EMPLOYMENT OPPORTUNITY POLICY

Responsible Green Cleaning, Inc. considers applicants for all positions without regard to race, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap or any legally protected status.

Are you at least 18 years old? yes no
Are you either a US citizen or a lawful permanent resident alien (that is, in possession of a "greencard")? yes no (Proof of citizenship or immigration status will be required upon employment.)
Are you comfortable cleaning all levels of dirt? yes no
Are you prepared to work in a professional manner -by which we mean being reliable, on-time, andserious about work and making money?	yes no
Are you able and willing to deal courteously with clients, even difficult or demanding ones? yes no
Are you able to work four hour jobs, and/or several jobs a day? yes no
ONLY IF you meet all these requirements should you continue with your application.
Name:     Address: Home Phone: Cell Phone: Email: Social Security #:
Have you worked in the cleaning industry before? If so, for how many years?
From what date would you be available for work?
List the days/hours you are available to work:
No pref: Mon: Tue: Wed: Thur: Fri: Sat: Sun:
Have you been convicted of a felony in the last seven years? (Conviction will not necessarily disqualify applicant from employment.)	yes no
If yes, please explain
Special Skills and Qualifications
Summarize any special skills and qualifications you possess, especially those related to the cleaning industry.
Employment Experience
List below your last three employers.  Start with your present or most recent job.
Employer : Telephone : Address :   Supervisor : Reason for Leaving :
Employer : Telephone : Address :   Supervisor : Reason for Leaving :
Employer : Telephone : Address :   Supervisor : Reason for Leaving :
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS BY THE APPLICANT IS CAUSE FOR DISMISSAL.