712 E. Fulton St., Garden City, KS 67845

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Southwest Janitorial Service

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620-953-4177 785-370-0629

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Employment

Employment

Employment

Employment Application

Personal Information

PERSONAL INFORMATION

First Name:

Last Name:

Middle Name:

Address:

City:

State:

Zip Code:

Telephone Number:

E-Mail Address

Position You Are Applying For:

Are you legally authorized to work in the United States?

Ye

No

Are you applying for:

F/T

P/T

Temp

What shift(s) will you work?

Days

Evenings

Nights

May we contact Present Emplyer?

Yes

No

How did you hear about us?

Online Ad

Referral

Online Search

Other

Who referred you?

If you select "other", please explain:

Employment History

EMPLOYMENT HISTORY - Begin With Most Recent Employment

Dates

Dates

From:

To:

Company Name:

City:

State:

Zip Code:

Titles and Duties:

Reason for Leaving:

Supervisor's Name:

Telephone Number:

Dates

Dates

From:

To:

Company Name:

City:

State:

Zip Code:

Titles and Duties:

Reason for Leaving:

Supervisor's Name:

Telephone Number:

MILITARY - Branch of Service

MILITARY - Branch of Service

Describe any military training received relevant to the position for which you are applying:

EDUCATION/TRAINING - Include Technical/Academic Achievements/Courses

EDUCATION/TRAINING - Include Technical/Academic Achievements/Courses

Have you obtained a high school diploma or GED certificate?

Yes

No

School - College/University

School - College/University

Name & Location:

Diploma/Degree:

Subject Of Specialization:

School - Specialized Courses & Training

Enter your free text here

Name & Location:

Diploma/Degree:

Subject Of Specialization:

PROFESSIONAL & TECHNICAL INFORMATION - To Be Completed for Licensed/Registered Positions

PROFESSIONAL & TECHNICAL INFORMATION - To Be Completed for Licensed/Registered Positions

Kansas Registration No.:

Expiration Date:

Certificate No.:

Expiration Date:

If not licensed in Kansas, have you applied?

Yes

No

If licensed in another state, list:

OTHER SPECIAL SKILLS - List Other Specific Skills You Have to Offer for This Job Opening:

REFERENCES - Give the Names of Three Persons Not Related to You:

REFERENCES - Give the Names of Three Persons Not Related to You:

Name:

Address:

Telephone

Occupation:

Name:

Address:

Telephone:

Occupation:

The information on this application is true and accurate to the best of my knowledge.

The information on this application is true and accurate to the best of my knowledge.

Date:

THE KANSAS DEPARTMENT OF LABOR DISTRIBUTES THIS FORM SOLELY FOR THE CONVENIENCE OF EMPLOYERS AND APPLICANTS, AND DISCLAIMS ANY RESPONSIBILITY FOR THE MANNER IN WHICH THIS FORM IS COMPLETED OR USED IN THE HIRING PROCESS.

THE KANSAS DEPARTMENT OF LABOR DISTRIBUTES THIS FORM SOLELY FOR THE CONVENIENCE OF EMPLOYERS AND APPLICANTS, AND DISCLAIMS ANY RESPONSIBILITY FOR THE MANNER IN WHICH THIS FORM IS COMPLETED OR USED IN THE HIRING PROCESS.

Thank you for contacting us.
We will get back to you as soon as possible.

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Home
Commercial Cleaning
Covid-19 Disinfecting
Floor Stripping & Waxing
Construction Cleanup
Contact Us
Employment

After Hours Emergency Number:

Content, including images, displayed on this website is protected by copyright laws. Downloading, republication, retransmission or reproduction of content on this website is strictly prohibited. Terms of Use | Privacy Policy

Home
Commercial Cleaning
Covid-19 Disinfecting
Floor Stripping & Waxing
Construction Cleanup
Contact Us
Employment

712 E. Fulton St., Garden City, KS 67845

southwestjanitorial@live.com

After Hours Emergency Number:

Mon - Fri: 9:00 am - 5:00 pm
Sat - Sun: Closed

Content, including images, displayed on this website is protected by copyright laws. Downloading, republication, retransmission or reproduction of content on this website is strictly prohibited. Terms of Use | Privacy Policy

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