Careers in NY • Clean Rite Center

PERSONAL INFORMATION

Full Name *

Home Address *

City *

State *

Zipcode *

Email Address *

Phone Number *

Location Desired

Position Desired

Desired status *

Full-Time

Part-Time

Temp/Seasonal

At least 18 years old? *

Yes

No

Able to work nights? *

Yes

No

Please indicate the hours you are available to work:

SUN

MON

TUE

WED

THURS

FRI

SAT

Have you ever worked for Clean Rite Center in the past? *

Yes

No

If YES, please indicate dates of employment and store location

Dates

Location

Have you ever applied for a position with Clean Rite Center in the past? *

Yes

No

If YES, please indicate dates of employment and store location

Dates

Location

Do you have any relatives currently employed by Clean Rite Center?

Yes

No

If YES, please indicate dates of employment and store location

Dates

Location

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Next Questions: Work Experience

Work Experience

List previous experience beginning with current or most recent position

Company Name 1

Address

City

State

Phone Number

Status

Full-Time

Part-Time

Temp/Seasonal

Dates of employment:

From

To

Starting Position

Last Position

Supervisor Name

Supervisor Title

Reason for Leaving

Company Name 2

Address

City

State

Phone Number

Status

Full-Time

Part-Time

Temp/Seasonal

Dates of employment:

From

To

Starting Position

Last Position

Supervisor Name

Supervisor Title

Reason for Leaving

Company Name 3

Address

City

State

Phone Number

Status

Full-Time

Part-Time

Temp/Seasonal

Dates of employment:

From

To

Starting Position

Last Position

Supervisor Name

Supervisor Title

Reason for Leaving

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Next Questions: Professional References

Professional References

Please provide two business or professional references. Do not list relatives.

Full Name 1

Title

Phone Number

How are you acquainted?

Length of time acquainted

Full Name 2

Title

Phone Number

How are you acquainted?

Length of time acquainted

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Next Questions: Education and Training

Education and Training

Institution 1

Years Completed

Degree Program

Did you graduate?

Yes

No

Institution 2

Years Completed

Degree Program

Did you graduate?

Yes

No

Institution 3

Years Completed

Degree Program

Did you graduate?

Yes

No

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Next Questions: Referral Source

Referral Source

How did you hear about us?

Name of Employee

End Section

Next Questions: Additional Personal Information

Additional Personal Information

Will you be engaged in other business or employment if employed by Clean Rite Center? *

Yes

No

If YES, please indicate the nature of business and nature of work:

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Permission to Work

Are you legally authorized for employment in the United States? *

Yes

No

All hires are required to provide proof of identity and legal authorization to work in the United States.

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Applicant Certification and Authorization

IMPORTANT: CAREFULLY READ THE FOLLOWING INFORMATION BEFORE SIGNING
I certify that the facts set forth in my application for employment are true and complete. I understand that if employed, false or incomplete statements or any misleading or incorrect information given on this application shall be considered sufficient cause for dismissal. I authorize Clean Rite Center to contact any of my previous employers, as well as any other credit or reference source in order to verify facts and information that I have furnished regarding my qualifications. I hereby release from liability all persons and organizations furnishing references or other information.
I understand that the completion of this application is not to be construed as an express or implied contract of employment or guarantee leading to employment. I understand that completion of this application does not mean that there is an available position, and that use of this application in no way obligates Clean Rite Center. Furthermore, I understand that my term of employment, if hired, shall be for no definite period and shall be at-will. I acknowledge that no employee of the company other than the President of Clean Rite Center has any authority to enter into employment contracts. I understand that this application for employment will be considered active for 60 days from the date it is submitted, and that after this time a new application must be completed.

Today's Date *

Signature of Applicant *

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