Apply for Cleaner - Chickasha/Anadarko

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Cleaner - Chickasha/Anadarko
ID:1150
Department:Operations
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
1. Personal Information
* Are you legally eligible to be employed in the United States?
(Proof of identity and eligibility will be required upon employment)
Yes   No
* Are you at least 30 years or older?
Yes   No
* Do you have a cell phone?
Yes   No
* Do you own a dependable car?
Yes   No
* Current employment status:
Working Full Time
Working Part Time
Retired
Not Currently Working
Please explain if you are not currently working:
* How long have you been working at your current job?
Not Currently Working
Less than 2 years
Between 2 and 5 years
More than 5 years
* What is the nearest region you live in?
Edmond
N OKC
NE OKC
NW OKC
SW OKC
SE OKC
Midwest City
Del City
Tecumseh
Shawnee
Moore
Norman
Noble
Union City
El Reno
Chickasha
2. Education
* High School Graduate or GED?
Yes   No
* Have you attended college?
Yes   No

Please list the information for your highest level of school or training you have attended.

* Name of school:
* Location of school:
* Did you graduate?
Yes   No
If college or technical school, what is the name of the degree or certification you received:
3. Employment History
Please provide your past 10 to 15 years of employment history, starting with your current or most recent employer.

Current Employer

Name of employer:
Start date:
Job title:
Description of job responsibilities:
City:
State:
Name of supervisor:
Supervisor's phone number (including area code):

Past Employer #1

Name of employer:
Start date:
End date:
Job title:
Description of job responsibilities:
City:
State:
Name of supervisor:
Supervisor's phone number (including area code):

Past Employer #2

Name of employer:
Start date:
End date:
Job title:
Description of job responsibilities:
City:
State:
Name of supervisor:
Supervisor's phone number (including area code):
4. Personal References
Please provide at least one personal reference (not relatives).

Personal Reference #1

* Name:
* Occupation:
Phone number (including area code):
* Relationship:
* Years known:

Personal Reference #2

Name:
Occupation:
Phone number (including area code):
Relationship:
Years known:
5. Availability

Availability

* Are you looking to work:
Part Time   Full Time
* How many hours would you like to work?
0 - 10   11 - 20   21 - 40
* When are you available?
Evenings   Days   Weekends   Anytime
* Would you have a problem working as late as 1 am?
Yes   No
6. Cleaning Experience
* Do you have janitorial experience?
Yes   No
If YES, please check all that apply:
Basic Office Cleaning
Supervisor Experience
Stripping and Waxing Floors
Buffing
Carpet Cleaning
Window Washing
* Do you have janitorial floor technician experience?
Yes   No
7. Criminal History
* Have you ever been convicted of a crime other than a minor traffic violation?
Yes   No
If yes, please explain.

A criminal conviction will not automatically disqualify you from employment. Relevant factors, such as age at the time of the offense, seriousness and nature of the offense, and rehabilitation will be considered.

8. Authorization
* I authorize investigation into all of the statements contained in this application. I authorize Alliance Maintenance, Inc., its area developers and its agents ("Alliance") to (1) obtain and perform a criminal background check and (2) contact my references. I understand that Alliance may obtain detailed and personal information about my background, character, and reputation.
Yes   No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

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