Careers in NY • Clean Rite Center

State *

City *

Personal Information

Full Name *

Location Desired *

Address *

Position Desired

City/State

Salary Desired *

Zip Code

Desired Status

Full-time

Part-time

Temp/Seasonal

Phone No

At least 18 years old?

Yes

No

Email

Able to work nights?

Yes

No

PLEASE INDICATE THE HOURS YOU ARE AVAILABLE TO WORK

Sunday *

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

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 application and store location *

Dates

Location

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

Yes

No

If YES, please indicate name, titles and store location *

Name/Title

Location *

Work Experience

List previous experience beginning with current or most recent position

Company

From

To

Address

Starting Position

City/State

Last Position

Phone No

Supervisor Name/Title

Status

Full-time

Part-time

Temp

Reason for Leaving

May we contact this employer?

Yes

No

Company

From

To

Address

Starting Position

City/State

Last Position

Phone No

Supervisor Name/Title

Status

Full-time

Part-time

Temp

Reason for Leaving

May we contact this employer?

Yes

No

Company

From

To

Address

Starting Position

City/State

Last Position

Phone No

Supervisor Name/Title

Status

Full-time

Part-time

Temp

Reason for Leaving

May we contact this employer?

Yes

No

Professional References

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

Name and Title *

REFERENCE #1

Name and Title *

REFERENCE #2

Phone No *

REFERENCE #1

Phone No *

REFERENCE #2

How are you aquainted *

REFERENCE #1

How are you aquainted *

REFERENCE #2

Length of time aquainted *

REFERENCE #1

Length of time aquainted *

REFERENCE #2

Education and Training

Institution

HIGH SCHOOL

Institution

COLLEGE

Institution

ADDITIONAL TRAINING

Years Completed

HIGH SCHOOL

Years Completed

COLLEGE

Years Completed

ADDITIONAL TRAINING

Degree Program

HIGH SCHOOL

Degree Program

COLLEGE

Degree Program

ADDITIONAL TRAINING

Did you graduate?

HIGH SCHOOL

Did you graduate?

COLLEGE

Did you graduate?

ADDITIONAL TRAINING

Referral Source *

Employee Name *

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 *

Details

Permission to Work

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

Are you legally authorized for employment in the United States?

Yes

No

Applicant Certification and Authorization

IMPORTANT: CAREFULLY READ THE FOLLOWING INFORMATION BEFORE SIGNING

Signature of Applicant *

Clear

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.