Application for Employment

Personal Data:

Name:


Home Number:


City State Zip

Present Address:


What is the best time to call?
Previous Address:


to

Educational Record:

Highest grade completed

Yes No

Name of School:


Highest grade completed?
Dates Attended:


Higher Education

Occupational Objectives:

Type of work Preferred:


Specify days & hours if part time:
Preferred Hours:


Desired rate of pay:

Are you able to perform the essential functions of the job for which you applying with or without accommodations?

Yes No

General Information:

Have you ever been refused bond?

Yes No

Have you ever been convicted of a felony of other serious offense (other than a traffic violation)?

Yes No

Have you previously applied for employment with ServiceMaster?

Yes No

Have you worked for ServiceMaster before?

Yes No

Do you have a valid driver’s license?

Yes No

Do you have a reliable transportation?

Yes No

Work History:

Name Of Company:


Business Address:


Job title:


Dates Employed: (start)


Description of Duties:
Type of Business:


Business telephone:


Immediate Supervisor:


Dates Employed: (finish)


Reason for separation:
clear send