Squeaky Clean

Home

Services

Pricing

Monthly Specials

Pictures

About Us

Customer Service

Links

Online Application

Fields marked with * are required

Name:

Date:

Social Sec. #:

Date of Birth:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Fax:

Email Address:

Driver's License #:

State:

Position Applying For:

Are you legally elligible
to work in the U.S.?

Yes No

List anything that might be
found when we perform
a criminal background check:

List any violation that
might be found on a
driving record search:

When would you be available
to begin work?

List your greatest acheivments
in life or past jobs:

Have you ever worked on tall ladders?

Yes No

How did you hear about
Squeaky Clean Windows?

Education	Name&Location	# of yrs	Grad. Date	Subjects studied
High School
College
Trade or Business
Seminars / Classes
Other

Subjects of special study
or research work:

Military Service?

Yes No Years: Branch:

Employment History

(Please list previous employment including your past five employers. Expain any gaps in employment below)

Employer Duties	Location Reason for Leaving	Dates of Hire Supervisor

Explanation for employment gaps:

References

(Please list three references that are not relatives)

Name	Telephone	Years Known	How are you acquainted?

Additional Information:

Signature
(certifies that the information
given is true and accurate to
the best of my knowledge)

Applicant's Name:
*

Date:

Squeaky Clean - Window Cleaning & Pressure Washing