Dependable Cleaners Application for Employment for Dry Cleaning Services

*All fields marked with an asterisk must be filled in for your application
to be submitted.

Date of application*

Your full name*

Your e-mail address*

Home address*

City*

State*

Zip*

Daytime phone*

Evening phone*

Are you legally authorized to work in the United States?*

Yes

Have you been convicted of a felony in the last 7 years? If yes, please explain (less than 250 characters)*

Have you ever applied for a position with us before?*

Yes

If yes, what was the date and position you applied for?

Date (month/day/year)

Position

Position desired

Do you have experience for the position for which you are applying?*

Yes

Are you seeking full-time or part-time employment?*

Are you employed now (check all that apply)?*

Yes		No
Full-time		Part-time

Location of interest*

Date you can start (month/day/year)*

Pay range (indicate dollars per hour requested)*

Days and hours you are available? (Fill in specific days and times or write "flexible.")*

Days*

Hours*

How did you learn about the jobs offered at Dependable Cleaners?

If referred by a friend or family member, please type their name here.

Employment History
List your last 4 employers, starting with the most recent:

Dates employed*

From*

To*

Company name*

Job title*

Phone number*

Immediate supervisor & title*

Reason for leaving*

Company address*

Responsibilities (less than 250 characters)*

Hourly rate/salary*

Start*

per*

Final*

per*

Dates employed

From

Company name

Job title

Phone number

Immediate supervisor & title

Reason for leaving

Company address*

Responsibilities (less than 250 characters)

Hourly rate/salary

Start

per

Final

per

Dates employed

From

Company name

Job title

Phone number

Immediate supervisor & title

Reason for leaving

Company address

Responsibilities (less than 250 characters)

Hourly rate/salary

Start

per

Final

per

Dates employed

From

Company name

Job title

Phone number

Immediate supervisor & title

Reason for leaving

Company address

Responsibilities (less than 250 characters)

Hourly rate/salary

Start

per

Final

per

Skills and Qualifications

Please summarize special skills and qualifications acquired from past employment or other experiences that may qualify you to work with our company (less than 250 characters).*

Educational Background

	Name & location	Years completed
High school*
College
Other

Please add any information that you feel will further support your application (less than 250 characters).

DISCLAIMER - Read the Following Paragraph Carefully
By submitting this application, I hereby certify that the statements made are true to the best of my knowledge. I understand that any willful misrepresentation of the essential facts may be reason for dismissal. I hereby give Dependable Cleaners permission to verify this information. I release Dependable Cleaners and all contacted persons from all liability that may issue from this verification process.