Application for Employment

Please complete the form below and submit when finished.

Education
*Leave fields blank if not applicable.
School	Name and Location of School	Course of Study	Years Completed	Did you Graduate	Degree or Diploma
High School
Trade School
College
Other

Military
Complete this section if you served in the U.S Armed Forces
Branch of Service:	Period of Active Duty Start Date:	End Date:
Rank at Discharge:	Date of Discharge:
Describe your duties and any special training:
Do you have any experience in our field? If so what, and describe how this experience will correlate to our field:
Do you have any relevant awards or certifications? If so, please list them, along with the date acquired:

Employment History
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Employer 1
Company Name:	Address:	Phone Number:
Supervisor:	Starting Job Title/Work Description:	Reason for Leaving:
Employed From:	Employed To:
Hourly Rate Start:	Hourly Rate End:
Add Another Employer

Employer 2
Company Name:	Address:	Phone Number:
Supervisor:	Starting Job Title/Work Description:	Reason for Leaving:
Employed From:	Employed To:
Hourly Rate Start:	Hourly Rate End:
Add Another Employer

Employer 3
Company Name:	Address:	Phone Number:
Supervisor:	Starting Job Title/Work Description:	Reason for Leaving:
Employed From:	Employed To:
Hourly Rate Start:	Hourly Rate End:
Add Another Employer

Employer 4
Company Name:	Address:	Phone Number:
Supervisor:	Starting Job Title/Work Description:	Reason for Leaving:
Employed From:	Employed To:
Hourly Rate Start:	Hourly Rate End:

We may contact the employers you listed unless you indicate those you do not want us to contact.
Do not contact Employer Number(s):	Reason:

References
Give below the names of three persons not related to you, whom you have known at least one year.
Name	Address	Profession	Years Acquainted

Affidavit

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon ServiceMaster Absolute Home and Restoration Services to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so.

If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

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Signature:

Better Business Bureau Accredited Business

Member of the Home Builders Association of Jackson

Proud member of the Lansing Area Chamber of Commerce

Proud member of the Mason Area Chamber of Commerce

Member of the Meridian Areaa Business Association

Position applying for
Position:
Personal Information
First Name:	Middle Name:	Last Name:
Address:	City:
State:	Zip Code:	How long at present address?
Previous Address:	Previous City:
Previous State:	Previous Zip:	How long at previous address?
Home Phone:	Cell Phone:	Email:
Are you over 18 years of age? YesNo	*If not, employment is subject to verification of minimum legal age.
Driver's License #	State of License	Any Driving Violations? YesNo
Are you legally eligible for employment in the United States? YesNo	If hired, when would you be able to start work?
Are you currently employed? YesNo	If so, may we inquire of your present employer? YesNo
Have you been convicted of a felony in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?YesNo
If yes, please describe each occurrence in full:
Are there any reasons for which you might be unable to perform the job duties(with reasonable accommodation)? YesNo
If yes, please explain:
How did you hear of our organization?

Application for Employment

Position applying for

Personal Information

Education

Military

Employment History

Employer 1

Add Another Employer

Employer 2

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Employer 3

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Employer 4

References

Affidavit