69 Industrial Drive, Chambersburg, PA 17201 | customcleaningcompany@yahoo.com
 
 
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Application for Employment

 
 
Personal Information
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Employment Desired
 
 
 
 
 
 
 YES  NO 
 
 
 YES  NO 
 
 
 
 YES  NO 
 
 
 
 
Education History
 
HIGH SCHOOL
 
 
 
 
 
 
COLLEGE
 
 
 
 
 
 
Trade, Business, or Correspondence
 
 
 
 
 
 
General Information
 
 
 
 
 
Former Employers (List below last for employers, starting with last one first)
 
Date,
Month and Year
 
Name & Address of Employer
 
Salary
 
Position
 
Reasons for Leaving
 
 
 
FROM
 
 
 
TO
 
 
 
 
 
 
 
 
 
FROM
 
 
 
TO
 
 
 
 
 
 
 
 
 
FROM
 
 
 
TO
 
 
 
 
 
 
 
 
 
FROM
 
 
 
TO
 
 
 
 
 
 
 
 
References (Give below the names of three persons not related to you, whom you have known at least one year)
 
NAME
 
ADDRESS
 
BUSINESS
 
YEARS KNOWN
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be gourds for dismissal.

I authorize investigation of all statement contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result form utilization of such information."

 
 
 
 
 
 

Contact Information

69 Industrial Drive, Chambersburg, PA 17201
 
 
Find us on:
 
 
 

Hours Of Operation

Mon- Fri 08:00AM- 6:00PM
Sat- Sun by Apt
 
 
 
 
 
 
 
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