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Rise & Shine Cleaning of Indiana, Inc

Employment Application

Click here for Open Positions

PRE-EMPLOYMENT QUESTIONNAIRE

EQUAL OPPORTUNITY EMPLOYER

Please fill out the form below.  Fields marked with an * are required.

Contact Information
*First Name
*Last Name
*Address
Address
*City
*State
*Zip Code
*Day Phone
  
*Evening Phone
*Your e-mail address:
*How did you hear about Rise & Shine Cleaning?
Availability

Are you interested in FT or PT?

Full Time Part Time
Total hours available per week?
*What days are you available?
  Mon Tues Wed Thur Fri Sat  
Tell us a little about what you do now (Approx. 100 words):
Tell us why you want to work for Rise & Shine Cleaning.
Do you have any specific questions?

*Have you ever been convicted of a felony or a crime involving dishonesty?

If yes please list the date, County, State and type of conviction.

Yes No
*Please list the names of three references not related to you whom you have known at least five years.

Name   

Address/Phone 

   Years Known

 

Name   

Address/Phone 

   Years Known

Name   

Address/Phone 

   Years Known

*Have you ever had a drivers license suspended, revoked or been convicted of a DUI Or DWI?

If yes please list the date, County, State and type of conviction.

 

Yes No
Best phone number to call:
Day Phone
Evening Phone
 

 

Thank you!!