Application | DCS Janitorial LLC

Name

First Last

Phone

Date of Birth

Have you ever been convicted of a felony or misdemeanor?

If yes, please explain:

Have you ever had any charges filed against you regarding the welfare of a child?

If yes, please explain.

The highest grade of education completed?

Do you have means of transportation?

Years of Cleaning experience? (Briefly explain)

Do you have Floor Tech experience? (ie. stripping, waxing, buffering, etc)

Do you have any Window Cleaning experience?

References

Provide 2 references (non-relatives)

Reference #1 Name

First Last

Reference #1 Phone

Reference #1 Email

Reference #2 Name

First Last

Reference #2 Phone

Reference #2 Email

Security Check: Please solve the simple math question to continue

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