Job Application

Interested in working at FM Cleaning?

Complete this application and someone will contact you.

Personal Information

Present Address
Permanent Address

Employment Desired

Are you employed now?
If so, may we inquire of your present employer?
Ever applied to this company before?
If so, when?


High School
Trade, Business, or Correspondence School


Subject of Special Study/Research Work:
Special Training:
Special Skills:
U.S. Military or Naval Service (include rank)


List below last four employers, starting with the most recent

Most Recent Employer

Date of Employment

Second Most Recent Employer

Date of Employment

Third Most Recent Employer

Date of Employment

Fourth Most Recent Employer

Date of Employment


Give below the names of three persons not related to you, whom you have known at least one year.

1st Reference

2nd Reference

3rd Reference

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.
I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization form me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

I agree.

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