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We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to race, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any legally protected basis. Please note that information you submit here may be cross-checked so be as accurate as possible. 
Serving Columbus Ohio and Surrounding Areas
We are satisfied when you are
  • Flexible cleaning schedules & services
  • Total attention to detail
  • Whole house cleaning or just certain rooms
  • All equipment & supplies provided
  • Same professional team in most cases
  • Licensed, insured & bonded
  • All jobs are 100% guaranteed
  • Locally owned, operated and non-franchised
Committed to providing excellent services to our customers. Our job is not done until you are completely satisfied. 
Interested in learning more?
Contact Us
PERSONAL BACKGROUND
First Name:
MI:
Last Name:
Street Address:
City:
State:
Zip:
Cell phone: 
Home phone: 
Emergency Contact Name:
Emergency Contact Phone: 
Social Security Number:
In which state was your driver's license issued?:
Driver License Number:
Do you have full access to a vehicle? 
Is your vehicle in good working condition?  
Are you able at the time of employment to submit verification of your legal right to work in the USA? 
Are you able to lift up to 50 Ibs with no problems? 
This job will require several body movements. Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties? 
Which of the categories of jobs have you had in the past? Please check all that apply. 
What hours are you available to work on the following days? Example: Between 9am to 4pm.
Mondays:
Tuesday:
Wednesdays:
Thursdays:
Fridays:
Saturdays:
If hired today, when can you start work?
Are you currently employed?
If yes, can we contact your current employer?
Have you ever been convicted of a criminal offense?
If yes, please explain below:
Have you ever been bonded?
Note: Due to the security sensitive nature of the job, all employees are required to be bonded. As a matter of policy, the company conducts a police background and driving record check on any applicant in consideration of hiring. 
WORK EXPERIENCE
List add 3 employers, starting with your present or last place of employment. Please include history any verified work performed on a volunteer basis:
[1] Past Employer Name:
     Past Employer Address:
Cleaning Force Services
112 North Waverly Street 
‚ÄčColumbus OH 43213 
Call: (614) 984-5555
‚ÄčEmail: admin@cleaningforce.net
     Salary made:
     Position held:
  Reason for leaving:
 Date Started:
 Date Ended:
Supervisor Name:
Supervisor Number:

[2] Past Employer Name:
     Past Employer Address:
     Salary made:
     Position held:
  Reason for leaving:
 Date Started:
 Date Ended:
Supervisor Name:
Supervisor Number:

[3] Past Employer Name:
     Past Employer Address:
     Salary made:
     Position held:
  Reason for leaving:
 Date Started:
 Date Ended:
Supervisor Name:
Supervisor Number:

EDUCATIONAL BACKGROUND
High School Attended: 
Dated Started: 
Dated Completed:
Highest Grade Completed:
High School Address:
Please Provide current high school contact number:

College or School Attended:
Dated Started: 
Dated Completed:
Please add information about your educational background. Enter "Not Applicable" in areas that do not apply to you. Thanks...
Degree or Certificate Earned:
Address of College attended:
PERSONAL REFERENCES
List the names of 3 persons not related to you who you have known for at least 3 years or more. 
[1] First Name:
Last Name:
Occupation:
Contact Number:
Please state how long you have known this person:
Contact Address: 

[2] First Name:
Last Name:
Contact Number:
Occupation:
Please state how long you have known this person:
Contact Address: 

[3] First Name:
Last Name:
Contact Number:
Occupation:
Please state how long you have known this person:
Contact Address: 
To what extend would the following job characteristics apply to you?
[a] More flexible daytime hours than other jobs: 
[b] Working in a team environment: 
[c] The opportunity to become a team leader:
[d] Physical activity and exercise: 
[e] The Monday to Friday Daytime only workweek: 
[f] Helping clients by keeping their home clean: 
[g] A good relationship with fellow employees: 
[h] Recognition for good work: 
[i] The money I can earn from this job: 
Please add any additional comments you have below: 
Please read the following statement below carefully before submitting this application. Only applications that are dated, signed and submitted will be considered valid. If you have any questions regarding this statement or if you intend to answer  "NO"  to any one of the statements below, please call (614) 984-5555 and ask your question before submitting this application. By clicking to submit you agree all information provided are accurate and to the best of your knowledge. Cleaning Force Services reserves the right to deny employment based on falsified information submitted. 
APPLICANT'S STATEMENT
[1] By signing and submitting this application, I certify that all the forgoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission, or falsification be discovered, it will constitute grounds of dismissal. I hereby authorize Cleaning Force Services, to which I am applying, to conduct any investigation necessary concerning any part of my background related to the position I am seeking, including but not limited to, the obtaining of police report and driving record. I authorize any of the persons or organizations I have named in this application to provide complete information and records regarding my current and past employment, education, character and qualifications. I release all parties from any liability in connection with the provision and use of such information. 
[2] I understand and agree that, if employed Cleaning Force Services, I will be responsible for familiarizing myself with all the rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change.  
[3] I also understand that no representative of this company has any authority to enter into any employment agreement for any specific period of time, or to assure me of any future position, benefits, or terms and condition of employment. I further understand that, if hired, any employment is for a definite period of time and may be terminated by either party at any time. 
[4] I also understand that Cleaning Force Services is a drug free workplace. All hires contingent on passing our drug test. 
By signing below I agree I have read, agree and understand the statements above: 
Please enter your name to symbolize your signature:  
Date of signature: 
Note: This application is current for 60 days from the date signed above. At the conclusion of this time, if I have not heard from this employer and still wish to be considered for employment, it will be necessary to fill out a new application. 
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House Cleaning
Hotel/ Motel
Restaurant
Sales
Fast Food
Janitorial
Manufacturing
Service
Administrative Duties
Others:
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No
Yes
No
Yes
No
Yes
No
9th
10th
11th
12th
GED
Yes
No
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No
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Yes
No