Janitorial Services | Racine, WI

Employment Application

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CLEANCO

PRE-APPLICATION (Pre – Aplicacion)

(PLEASE PRINT CLEARLY) (Por favor escriba claro en Ingles)

Date (Fecha)

Best Phone # (Telefono)

First Name (Nombre)

Middle Initial

Last Name

Address (Direccion)

City (Ciudad)

State (Estado)

ZipCode (Codigo Postal)

Date of Birth

Email Address

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Hours Available (Horas Disponibles)

1st Shift (1 er Turno)

2nd Shift (2 do Turno)

3rd Shift (3 er Turno)

Weekends (Fines de semana)

Rate expected per hour (pago que espera por hora)

What type transportation will you use? (Que tipo de transporte va a usar?)

How many hours per week would you like to work?

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Education (Educacion)

Please circle highest grade completed (Por favor circule el grado mas alto que completo)

High School (Preparatoria)

Last school attended (Ultima escuela que asistio)

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Your Work Record

Last or present employer (Ultimo o Presente Trabajo)

Address (Direccion)

When did you start? (Cuando Empezo)

When did you leave? (Cuando Lo dejo)

Why did you leave? (Porque lo dejo?)

Previous employer (Empleador anterior)

Address (Direccion)

Start date (Fecha de inocio)

End date (Fecha final)

Why? (Porque?)

Previous employer (Empleador anterior)

Address (Direccion)

Start date (Fecha de inocio)

End date (Fecha final)

Why? (Porque?)

Signature (Firma)

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Contact Info

Phone: (262) 552-2656

Address: 2711 Lathrop Ave, Suite A

Racine, WI 53405

Business Hours:

Mon - Fri: 8:30 am - 4:30 pm
Sat - Sun: Appointment Only

Employment Application

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Contact Info

Hours of Operation