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Employment Application

NOTICE: Building Maintenance Technologies, Inc., including all of its divisions, is an equal opportunity employer. No question on this application is intended for or will be used to exclude any person, regardless of race, color, sex, religion, age, national origin, sexual orientation or any other basis not related to the needs of the company. We will not knowingly hire a non-employable alien. We follow and obey the provisions of Title VII of the Civil Rights Act of 1964, the Age Discrimination Act of 1967, the Americans with Disabilities Act, and the Immigration Reform and Control Act of 1986.
IF YOU FEEL ANSWERING A QUESTION CONTAINED IN THIS APPLICATION WOULD VIOLATE YOUR CIVIL RIGHTS, PLEASE OMIT THE ANSWER TO THAT QUESTION.

Personal Information

Last Name First Name Middle Name
Address Apt #
City State Zip
DLN (if position requires driving) State Endorsements
How do you plan to get to work?
Date
SSN (Optional)
Phone
Pager
Cell

Employment Interests

Position Desired Date Available to Start Minimum Desired Wage per Hour
Where did you hear of job? Have you applied here before? Have you been employed here before?
Were you ever bonded? Will you work overtime? Are you 18 or older?
Do you enjoy cleaning? Do you consider yourself to be organized? Hours per week would you like to work?
Would you be willing to start part-time? Do you consider yourself to be friendly and outgoing?
 
Are you applying for: Are you legally eligible for employment in the United States?
Full Time Part Time Seasonal  
Have you been convicted of a violent or theft related crime?
 

Employment History

Starting with most recent, list your former employers, assignments, or volunteer activities filling in the details as specified. Use an additional sheet of paper if necessary. Explain any gaps in employment in the space provided below. Incomplete disclosure of facts called for may void your application.
 
Employer   Phone
 
Address
Job Title
Immediate Supervisor and Title
Reason for leaving
 
Employed From   Employed To
 
Starting wage (Hourly rate/salary)
 
Final wage (Hourly rate/salary)
 
Summarize the type of work and your duties
Employer   Phone
 
Address
Job Title
Immediate Supervisor and Title
Reason for leaving
 
Employed From   Employed To
 
Starting wage (Hourly rate/salary)
 
Final wage (Hourly rate/salary)
 
Summarize the type of work and your duties
Employer   Phone
 
Address
Job Title
Immediate Supervisor and Title
Reason for leaving
 
Employed From   Employed To
 
Starting wage (Hourly rate/salary)
 
Final wage (Hourly rate/salary)
 
Summarize the type of work and your duties

Opinion

Please enter the following questions about yourself and your previous jobs.
 
Do you use illegal drugs? Have you used illegal drugs in the past 2 years?
What is your greatest weakness? What is your greatest strength?
Can you perform the functions of this job (essential and/or marginal) with or without reasonable accomodation?
Can you meet the attendance requirements of this job? How many days of leave did you take last year?
What would your current or previous employer tell us about you?

Availability

Indicate in the table below what days you are able to work and specify 1st, 2nd, and/or 3rd shift. Shifts are usually no longer than 8 hours. The start time and the end time of the 1st, 2nd or 3rd shift usually falls between the time indicated in the table below.
 
Shift time Monday Tuesday Wednesday Thursday Friday Saturday Sunday
6am - 4pm 1st 1st 1st 1st 1st 1st 1st
3pm - 11pm 2nd 2nd 2nd 2nd 2nd 2nd 2nd
10pm - 7am 3rd 3rd 3rd 3rd 3rd 3rd 3rd

Emergency Information

In case of emergency notify: Relationship Phone
Address City State Zip

Electronic Signature and Agreement

I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or discharge from Building Maintenance Technologies, Incorporated's (including all its divisions) service, whenever it is discovered. I give Building Maintenance Technologies, Inc. and all its divisions the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability Building Maintenance Technologies, Inc. and all its divisions along with its representatives for seeking, gathering, and using such information and all other persons, corporations or organizations for furnishing such information. Building Maintenance Technologies, Inc. does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis protected by federal, state, or local law. This application is current for 60 days. At the conclusion of this time, if I have not heard from Building Maintenance Technologies, Inc or its divisions and still wish to be considered for employment, it will be necessary to fill out a new application. If I am hired, I understand that I am free to resign at anytime with or without cause and without prior notice, and Building Maintenance Technologies, Inc and its divisions reserves the same right to terminate my employment at anytime with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment at any time or definite duration. I understand it is this company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA. I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization as required by IRCA.
 
Electronic Signature Date Submitted
 
* Required Fields