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Simon's Window Cleaning

APPLICATION

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Graduated?YesNo
Graduated?YesNo
Graduated?YesNo
What category would you prefer?
Full TimePart Time
For which schedules are you available?

WeekdaysWeekends
Are you licensed/certified for the job applied for?
YesNo
Has your license/certification ever been revoked or suspended?
YesNo
If the job requires, do you have the appropriate valid non-restricted driver’s license?
YesNo
Have you had any moving violations within the last seven years?
YesNo
Are you legally eligible to work in the United States?
YesNo
Have you ever been convincted of a crime?
YesNo
Are you currently awaiting trail for any criminal offense?
YesNo
New York Applicants: You may answer “no record” concerning any criminal proceeding that terminated in your favor, per section 160.50 of the New York Criminal Procedure Law; any criminal proceeding that terminated in a “youthful offender adjudication”, as defined in section 720.35 of the New York Criminal Procedure Law; a conviction for a “violation” that has already been sealed by the court, per section 160.55 of the New York Criminal Procedure Law.
Previous Employers

Most Recent or Current Employer


Second Most Recent Employer
I certify that I have read and understand the applicant note on this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
By entering your name and checking the acknowledgement box below, you certify electronically that you have read and understand the above document.
All fields are required

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