Application – English Please enable JavaScript in your browser to complete this form.Name *FirstLastSocial Security NumberEmail *Home Phone NumberCell Phone NumberStreet Address *City *State *Zip Code *Date of Birth *Are you legally authorized to work in the United States? *YesNoAre you under 18? *YesNoHave you ever been convicted of a crime? *YesNoIf YES, give date, place, offense, and outcome (Previous convictions do not necessarily disqualify an application from employment)Position Desired *How did you hear about this position? *List Job skills and experience that apply for this job: *Date Available *Desired Salary *Employment History - Employer NameEmployer Street AddressEmployer City, State, and Zip CodeJob TitleJob DutiesPlease Enter Your Start & Ending DatesSupervisor's NameSupervisor's Phone NumberMay We Contact Your Employer?YesNoEmployment History - Employer Name (2)Employer (2) Street AddressEmployer (2) City, State, and Zip CodeJob TitleJob DutiesPlease Enter Your Starting and Ending DatesSupervisor's NameSupervisor's Phone NumberMay We Contact Your EmployerYesNoPersonal Reference Name (1)Personal Reference Address (1)Personal Reference Phone (2)Personal Reference Name (2)Personal Reference Address (2)Personal Reference Phone (2)Type Full Name as Signature *Please read carefully and sign Above: I certify that the information contained in this application is correct to the best of my knowledge, and I understand that any misstatement or omission of information is grounds for ending the hiring process or dismissal. I authorize verification of information provided on this application; and authorize references listed above to give all pertinent information; and release all parties from all liability for any damage that my result from furnishing same to Carpe Diem Cleaning, Inc. In consideration for my employment, I agree to conform to the rules and regulations of Carpe Diem Cleaning, Inc. I further agree that either I, or Carpe Diem Cleaning, Inc. may terminate employment with or without cause or with or without prior notice, at any time. Finally, I understand that no representative of the Carpe Diem Cleaning, Inc. other than an Executive Officer has the authority to enter into any agreement for employment for any specific period of time, or to otherwise alter the foregoing. Carpe Diem Cleaning, Inc is an Equal Employment Opportunity employer. We conduct all employment-related activities without regard to race, color, religion, gender, gender identity, marital status, age, disability, veteran status, sexual orientation, national origin, or other classification protected by applicable State or Federal employment discrimination laws. Carpe Diem Cleaning, Inc., welcomes diversity in the workplace.CONSENT FOR CRIMINAL BACKGROUND CHECK - Type Full Name as Signature *Your signature below authorizes Carpe Diem Cleaning and Criminal Information Services, Inc. to obtain information about you (if applicable) from various law enforcement agencies, courts, and corrections agencies.Gender *MaleFemaleCurrent Address *Other Names UsedPrevious addresses in the past 7 years: *Type Full Name as Signature *MessageSubmit