Apply for Positions - Mely's Janitorial Services

1. Employee Information

First Name:

Middle Name:

Last Name:

Email Address:

Social Security Number:

Date of Birth:

Apartment Number:

City:

State:

ZIP Code:

Home Phone:

Cell Phone:

Other Phone:

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

Do you have a car to commute to work?

Driver's License Number:

State of Issue:

Desired Employment Type:

Desired Work Shift:

Have you worked for Mely's before?

Friends or family working here:

Have you been convicted of a crime?

Available Start Date:

Highest Level of Education:

Relevant Skills:

2. Employment History

Please detail your previous work experience, starting with the most recent.

First Previous Employer

Company Name:

Phone Number:

Company Address:

Employment Dates (M/D/Y - M/D/Y):

Supervisor Name:

Hourly Wage:

Reason for Leaving:

Describe your job responsibilities:

Second Previous Employer

Company Name:

Phone Number:

Company Address:

Employment Dates (M/D/Y - M/D/Y):

Supervisor Name:

Hourly Wage:

Reason for Leaving:

Describe your job responsibilities:

3. Finalize Application

Please carefully read the following statement before proceeding:

By submitting this application, I certify that all information provided in this form is true, complete, and accurate to the best of my knowledge. I understand that any false statement or omission may be grounds for rejection of my application or termination of my employment, if hired.

I understand and agree that, if hired, my employment with Mely's Janitorial Services is at-will, meaning that both the company and I may terminate the employment relationship at any time, with or without cause, and with or without notice, in accordance with applicable laws.

I authorize Mely's Janitorial Services to verify the information provided in this application, including my employment history and background, and agree to provide any additional information required for this purpose.

Applicant's Full Name (Electronic Signature):

Application Date: