Alpha Omega Cleaning
APPLICATION FOR EMPLOYMENT
262-971-0856

***THIS APPLICATION DOES NOT WORK WITH INTERNET EXPLORER 9***

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To download our application in .pdf format click here
Printed applications should sent by fax to 262-439-8834
You may email your resume to: jobs@alphaomegacleaning.com

MAILED OR HAND DELIVERED APPLICATIONS WILL NOT BE ACCEPTED! ONLINE, FAX OR EMAIL ONLY!

Please fill out the following information.

PERSONAL INFORMATION
First Name:
Last Name:
Present Address:
City:
State:
Zip:
How long have you been at present address:
Phone: ()-
Alternate Phone: ()-
Fax: ()-
E-mail:  
Are you 18 or older?  Yes No
 
WORK PREFERENCES
How did you hear about Alpha Omega Cleaning?
When are you available for work?
  Mon Tues Wed Thurs Fri Sat Sun
from              
to              
Please check Comments
I’m available on call/ occasional.  Yes No
I require regular hours.  Yes No
Are you legally eligible for employment in the U.S?  Yes No
If offered employment, how soon could you start?  Yes No
Have you previously applied with Alpha Omega Cleaning?  Yes No
 
FORMER EMPLOYERS
(List below your last four employers, starting with your last one first)
Company Name

Address

City
State
 Zip
Phone
 Supervisor
Employment
From
Month		 Year
 
To
Month		 Year
Wages
Start End
Title/Brief description
Reason For Leaving
How much notice given?
Company Name

Address

City
State
 Zip
Phone
 Supervisor
Employment
From
Month		 Year
 
To
Month		 Year
Wages
Start End
Title/Brief description
Reason For Leaving
How much notice given?
Company Name

Address

City
State
 Zip
Phone
 Supervisor
Employment
From
Month		 Year
 
To
Month		 Year
Wages
Start End
Title/Brief description
Reason For Leaving
How much notice given?
Company Name

Address

City
State
 Zip
Phone
 Supervisor
Employment
From
Month		 Year
 
To
Month		 Year
Wages
Start End
Title/Brief description
Reason For Leaving
How much notice given?
Please indicate if you do not want us to contact your current employer.
 
EDUCATION
High School Name

Location
Did You Graduate?
Yes No 		Year Graduated
GED?
Yes No 		Date GED Granted
Higher Education Please List
Education Continued Please List
 
Please list all convictions including felonies, municipal violations and misdemeanors.
List offense, date and location. If none, write none.
 

List all pending charges.
A criminal record or pending charge does not constitute an automatic bar to employment and will be considered only as it relates to the job in question

Other Qualifications
 Summarize special job-related skills and qualifications acquired from employment or other experience.
 
Specialized Skills (please check skills/equipment)
scrubbing machine(low speed) fork truck
lift truck(scissors or boom) window washing
auto scrubber burnishing machine
back pack vacuum carpet cleaning, hot water extraction, portable
carpet cleaning, hot water extraction, truck mount  
 
Supervisory experience
 
State any additional information you feel may be helpful to us in considering your application.
 
Do not answer this question unless you have been informed about the requirements of the job for which you are applying.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job for which you have applied? A review of the activities involved in such a job has been given.
Yes No
 
REFERENCES
Give below the names of three persons not related to you, whom you have known at least one year.
First Name
 Last Name
 Years Known
Address
  
City
 State
  
Business
 Phone Number
First Name
 Last Name
 Years Known
Address
  
City
 State
  
Business
 Phone Number
 

Applicant’s Statements

I certify that all answers given are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I voluntarily consent to any background checking, including reference checking of all past employment, reviewing any applications/resumes or other information submitted for employment, personnel files, reviews, performance appraisals, disciplinary or other corrective actions, court records including criminal convictions and civil records and other record and sources as appropriate.

I also voluntarily consent to any educational verifications.

I authorize Alpha Omega Cleaning and its agents to obtain records and information from any of the above and release that information both orally and in writing to Alpha Omega Cleaning and other perspective employers.

I hereby release Alpha Omega Cleaning and any of their agents, law enforcement and government agencies, past or present employers, organizations applied to including officers, employees or related personnel of any of the above named, individually or collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs, family or associates because of compliance with authorization and request to release information or any attempt to comply with it.

Enter your initials here as acceptance of the proceeding statements:                

 

This application shall be considered active for a term not to exceed 45 days

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization of an “at will” nature which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or conduct unless such change is specifically acknowledged in writing by an authorized executive of Alpha Omega Cleaning

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am to abide by all rules and regulations of the employer.

Enter your initials here as acceptance of the proceeding statement:                

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Copyright © 2011 | Alpha Omega Cleaning, Inc. | 2711 S. Calhoun Road New Berlin, WI 53151

Phone: (262) 971-0856 | Fax: (262) 439-8834| info@alphaomegacleaning.com


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