740-676-2178

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Employment Application

Please complete entire application to ensure processing.

Basic Information

First name

Last name

Phone

Address

Address 2 (Optional)

City

State

Zip

Employment

If hired, can you provide verification of your legal right to work in the United states? (Documentation demonstrating legal right to work in the United States will be required upon hiring).

Yes

Do you have a driver's license?

Yes

Have you ever been convicted of a crime?

Yes

If Yes, Explain

Desired Position

Salary Requirement (Per Hour/Week)

Have you applied with us in the last six months?

Yes

If Yes, Provide Date

If hired, when would you be able to start working?

List any activities, affiliations, etc. you feel would be relevant in the evaluation of your qualifications for the position you seek (ex: professional societies, academic achievements, patents, positions in outside organizations).

Office Skills (Check all/any that apply):

Typing

Basic Computer Skills

Microsoft Word

Microsoft Excel

Education

Name of High School

Address

Did you graduate High School?

Yes

Did you graduate College?

Yes

Please list any degrees obtained from college, including years completed.

Work Experience

Past Employment

Previous/Current Employer

Phone

Name of Supervisor

Address

City

State

Zip

Time Employed

Salary

Title

Reason for Leaving

References

List three individuals not previously shown who have been in a position to objectively evaluate your training, experience and capabilities.

Reference #1

First name

Last name

Phone

Reference #2

First name

Last name

Phone

Reference #3

First name

Last name

Phone

Upload Resume (Optional)

Files accepted: .docx,.pdf

Please Read Carefully - Applicant’s Certification and Agreement

I hereby certify that all information provided by me, including that contained in the attached resume is true and complete. I authorize former employers, schools, and other organizations listed to provide relevant information on which to base an employment decision. If anything contained in this application is found to be untrue or misleading through omission, I understand that I will be subject to dismissal at any time during the period of employment. I understand that this application does not create a contract of employment. I understand and agree that, if hired, my employment will be at will, and subject to termination at any time with or without cause and with or without notice.

Long's Cleaning

Main Office:
56285 Key Bellaire Road
Bellaire, OH 43906

Phone: 740-676-2178
Fax: 740-676-1446

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Bellaire, OH: 740-676-2178
Washington, PA: 724-222-1212
St. Clairsville, OH: 740-695-2266
Wheeling, WV: 304-232-7775
Steubenville, OH: 740-282-2000

Hours of Operation:
Monday-Friday: 8:00am–5:00pm
Saturday: 10:00am–3:00pm

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