WPCy0 ʉ(TvmhmZsɫ2q)?0{qLB"Y~ŪmFBb;fpB?+xbbԍ Ğb#|iL#6MHdHTE :0:(:`syn ѕ}[i YwB7SX޳}+i~GD=K|Pq)4/.+W}95%[kWk `H[9ȰqH)fFj-s    Thankyouforyourinterestinemploymentwithourcompany.Itisunderstood,thatcleaningisan   essentialpartoflife,somethingwecannotdowithout,somethingeachofusmustdo.Itis,however,our  H  observationalsothatfewpeopletruly enjoy cleaning,especiallythoroughly.Ifyouareoneofthem,we V  consideryouunusual,andwearetrulyhonoredtohaveyourinterest.     Itistheintentionoftheadministrationtoprovidenotonlyemployment,buttrainingand `  advancementforeachemployeeandassociate.Wewanttodevelopacomprehensiveprogramwiththe   rightincentivestobringtofulfillmentaqualifiedanddependablecleaningservicecompany. t    WewantTHREECHARACTERISTICStobeassociatedwithourcompany:   0   1.  QUALITY 󀄄Weexpectthoroughcleaningwithdetail.Wehavefoundthatwhendetailcleaning t isleftundone,therestoftheworkappearsundone!Weknowthatajobwelldonewillbringa * senseofpersonalaccomplishmentthatresultsinselfsatisfactionandpurposeinlife.%% 0   2.  DEPENDABILITY 󀄄Weexpectcleaningtobedoneaccordingtoaregularprearrangedschedule. 4 Weexpectittobenormallydoneontimeunlessadvancenotificationandarrangementsaremade,  exceptofcourse,foremergencies.H%% 0   3.  INTEGRITYÐICS 󀄄Weexpectouremployeestodisplaycharacterandresponsibility ! throughouttheiremploymentwithus.Thisrelationshipestablishesatrustthatactuallyprotectsall R" ofustheemployer,theemployee,thecustomer.NeversacrificethisTRUST;itcannotbe `# restoredinourlineofbusiness.Thecustomerwillnottolerateit.Weasemployermustand $  absolutelywillnottolerateit! YourHONESTYandHUMILITYaremoreimportanttousthan t% yourabilitytoclean!*&%% #.X.XgX##.&V1%.Forthesereasons,youremploymentwillbe immediatelyterminatedwithoutfurtherrecourseforthefollowing ~( violationsofour"trust":  |$) 0  04%%  Lying,deceptionordeliberatemisrepresentationinanycircumstancewhetherdirectorindirect.;X+4%4%   0  04%%  Unauthorizeduseofanyofficeequipment,orpersonaleffects,including,butnotlimitedto,copiers, J, printers,computers,calculators,desk-topequipment,foods,condiments,oranyarticlesinprivate - deskdrawers,etc.; >.4%4%   0  04%%  Unauthorizeduseofcleaningequipmentand/orproductsofeitherourcompanyorthecustomer.);0!/4%4%   0  04%%  Failuretoproperlysecureanydoororengageanysecuritysystemrequiredbythecompanyor !r0 customer. ;p" 14%4%   0  04%%  Unauthorizedreproductionofentrykeysordisseminationofexclusiveentrycodesoranyofour  # 2 accountofficesemployee/patient/clientinformation.;#X!34%4%   0  04%%  Unauthorizeduseofothers,friendsorrelativesincluded,tohelpyouinyourcleaningortoevenbe J$!4 presentwithyouduringyourcleaningoperations.=;$"54%4%   0  04%%  Useorconvictionofuseofanyillegalsubstanceatanytimeonthejob!oroffthejobwhenit %2#6 impactsworkmanshipwhileonthejob!Also,refusaltosubmittodrugtestingatanytimewhileyou 0 areperformingcleaningoperations,ifsorequestedbyyourimmediatesupervisor,isgroundsfor &~$8 immediatetermination.{;|'$%94%4%     Mostimportantofall,weexpectthespiritofa"learner"fromyouwhileyouareunderouremployment.This (X&; doesnotmeanthatweareunwillingtolearnfromyou.Youmayoffersuggestions,verbalorwritten,atanytime. V)&< Butwedoaskthatyouacknowledgeourexperienceandauthorityanddothingsourwaywhenweconsideritthe )'= bestway. *J(>   Asyouagreewiththesepreliminaryconcernsandexpectations,soindicateyouragreementwithyour +~)@ signaturebelow,andthencompletetheremainderoftheapplication.#.%.&V1#.XgXX. |,$*A D%AcceptanceDate:_____________________ @  -h+C XXX________________________________________________ v.,D    4  SignatureofAcceptanceH H \%Form:_cpea_Ԁ04c   /,E X/ 1X]8XX.XgX#1X1X]8(#WeAreanEqualOpportunityEmployer #  II.  A.Printdistinctlyallinformationrequestedbelow:Pleaseusebackforlackofspace.   Applicant    Date  򀀀       First `    Middle/Initial  LastNAME    ofapplication b Address  򀀀  0  _________yV % %     Number&Street  Apart./Suite  _P.O.Box_Ԁif_apl_.  SocialSecurity#  City    򀀀  _STate_Ԁ򀀀 p   Zip򀀀    ?5"'  !dEX (#?    HOMEPhone  a/c  WORKPhone p a/c J ' ?5"'  !dEX= (#? >   B.  EMERGENCYREFERENCES    Relative/ +  Guardian  򀀀 p Relationship򀀀       First `  Middle/Initial  LastNAME  Address  򀀀 p 򀀀 x 򀀀        Number&Street  Apart./Suite   p Town     x _STate_ j  HOMEPhone  a/c  WORKPhone p a/c ^   ?5"' !dEX(#?   Irregular(NOT85MF) WorkPhoneHours:  Days:򀀀  Hours:򀀀 jG  ?5"' !dEX(#?    C.  EDUCATION W4   High  򀀀  򀀀 p 򀀀  򀀀 K(" School  NAME `    City,State     p Years    Diploma/_G.E.D._? # Univ.  򀀀  򀀀 p 򀀀  򀀀 % orCollege  NAME `    City,State     p Years    Diploma? 3& Univ.  򀀀  򀀀 p 򀀀  򀀀 '( orCollege  NAME `    City,State     p Years    Diploma? ~) Other  򀀀  򀀀 p 򀀀  򀀀 r+     NAME `    City,State     p Years    Diploma? , Otherslistedonback?___?5"' !dEX(#? f- PrimaryLanguageifnotEnglish:򀀀Second:򀀀 }Z/ ?5"' !dEXp(#? qN1  D.  WORKEXPERIENCE  3  1.Areyoupresentlyemployednow? YESNO  Givehours/week򀀀 ^;4  2.GivethenumberofhoursyoudesiretoworkPERWEEK: 򀀀 R/6  3.Givethehoursyouprefertoworkperweek(includeamorpm):  7 Mon  򀀀 ` Tues 򀀀 h Wed  򀀀 p Thurs  򀀀 x Fri 򀀀 9 Sat  򀀀 ` SUN 򀀀 ;  4.CIRCLEyourPRIMARYMethodofTransportation:  . < A.SELFOWNEDCAR ` B.ANOTHER'SCAR h C.BUS   p D.BICYCLE   x E.WALK " >  5.Checkthetypes(ornumberthemonths?oryears?oneach)ofexperienceyouhave:  !@ house򀀀 ` officejanitorial򀀀  industrial򀀀  "B hardfloors򀀀 buffing򀀀  stripping򀀀 "D CarpetBonnet򀀀 Extraction򀀀  windows򀀀 #F Others:򀀀 $H  EMPLOYERS.Listthelastthree,BEGINNINGWITHTHEMOSTRECENT:  % J *23 ddd Xdd Xdd XX%X%,R d ,td ,td ,td ,td ,td ,t +  644'T&1!KT&1! 66.CompanyName,Address, &!L City&State 245#v'S"M44 27. &!N Phone 245#v'S"O45 28. &!P _Superv_ v'S"Q Name 245#'"R45 29. &!S _Occupat_ v'S"T JobDes 245#'"U45 210. &!V Yrsmos v'S"W employed 245#'"X45 2Wages &!Y per/hr v'S"Z specifyif '"[ other 6454#V(3#\45 612. &!] Reason v'S"^ Leaving J44;#'"_  454 4J1) v)S$`  245#j*G%b44 2 245#v)S$c45 2 245#v)S$d45 2 245#v)S$e45 2 245#v)S$f45 2 6454#v)S$g45 6 J54;#v)S$h 4 454 J2) +g&i  255#~,['k54 2 255#+g&l55 2 255#+g&m55 2 255#+g&n55 2 255#+g&o55 2 6554#+g&p55 6 L544;#+g&q  554 D0L3) -{(r  4554#.o)t544 4 4554#-{(u554 4 4554#-{(v554 4 4554#-{(w554 4 4554#-{(x554 4 65544#-{(y554 63)'-{(z 0 D  5544 3Clarificationsofanyabove:  /*{  E.PHYSICALCONDITION UsebackofapplicationwithOutlinereferences(forexampleE.1.)forextended # answers._ LIST_Ԁ_INABILITIES,_Ԁ_AND/OROBJECTIONS_Ԁ_YOU_Ԁ_HAVE_Ԁ_UNDER_Ԁ_EACH_Ԁ_SECTION_Ԁ_WITH_Ԁ_ALL_Ԁ_NECESSARY_Ԁ_DETAILS,USING  BACKOFTHISPAGEFORDETAIL.Whilesubmissionofinformationforthequestionsbelowisvoluntary, /  failuretoadviseusofpastorpresentoccasions,whichinvolvemisuseofillegalorotherwiseinjurious  substancesorcriminalbehaviorthatcouldjepordizethewelfareofanyoneyouassociatewithwhileunder ; ouremploymentwillbecauseforimmediateterminationwithoutrecourse. _  Physical_requirementsto_ԀSATISFACTORILYperformtheworkforwhichyouareapplyinginclude   1)LIFTINGhoses,dryingequipment,shampooers,chemicalcontainers&bufferson/offtruckswithweights /  upto40or50pounds._E.G.Backormuscleinjuries,etc.:_Ԁ     A5") xdEX (#A    ?5"' !dEX (#?  o  2)REPETITIVEMOVEMENTSwitharmsandlegsstroking_carpets,_Ԁ___flooring,andupholstery_Ԁwithtoolsforan   extendedtimeof24hoursbetween_breaks:___Ԁ_E.G.CarpelTunnel,etc.:_  d  ?5"' !dEXz (#? { X ?5"' !dEXc(#? dA   3)Workordersrequiring___EQUIPMENT_ԀADJUSTMENTSANDCHEMICALHANDLINGwithpersonalprotectionequipment   inplaceincludingrespirators,gloves,warningsignsandposters,beforeduringandafterlabor. Y6   ?5"' !dEXL(#? M*  A5") !dEX5(#A 6   4)DrivingofequipmentwithutmostsafetyinmindtoandfromtheworksitewithavalidCTdrivers   license.  + ! ?5"' !dEX(#?  # A5")  !dEX(#A &  5)0  ALERTNESSANDCONCENTRATIONarevitaltothislineofwork.Therefore,inordertominimizeinjury ) toselforothers,damagetoequipmentorclientfurnishings,wereservetherighttoexpect wT* employeestosubmittodrugtestingatanytimewhileunderouremployment.Refusaltotakesuch + atestisgroundsforimmediatetermination._ `,%% _A5") C!dEXv(#A wT. A5") D!dEX_(#A `=1 ?5"' E!dEXH(#? I&4 ?5"' F!dEX1(#? 27  F.PERSONALREFERENCES  ~9 Giveatleast3personalreferenceswhoarenotyourrelatives,norindividualspreviouslylistedonthis r; application,andwhomyouhaveknownforatleasttwoyears.Atelephonemustbelistedforeachentry. < 1> > ?5"' !dEX(#? f? ЀPhone   ` NAME    h Address   p City    Occupation ##e%Years ~[@ 2> rOB ?5"' !dEX(#? C ЀPhone   ` NAME    h Address   p City    Occupation ##e%Years D ?5"'  !dEX) (#?3> F ЀPhone   ` NAME    h Address   p City    Occupation ##e%Years O ,G ?5"' "!dEX!(#? !J   Iherebyauthorizeinvestigationofallstatementscontainedinthisapplication.Iunderstandthat ," L misrepresentationoromissionoffactscalledforiscausefordismissal,andfurtherIunderstandand "M agreethatMYEMPLOYMENTISFORNODEFINITEPERIODANDIMAY,REGARDLESSOFTHEDATEOFPAYMENTOFMY 8#N WAGES/SALARY,BETERMINATEDATANYTIMEWITHOUTANYPREVIOUSNOTICE. #O DateTODAY:_______________________ h Applicant'sSignatureXXX________________________________ $Q ?5"' 7'$!dEX%$(#? % S @*DONOTWRITEBELOWTHISLINE %&!U _Interview:_ &|!V ____________DateofHire:___________________  StartingWage________________  Hours/Week__________ *%_ WorkRecordComments    h Incidents/Warnings p     Date +&a ?5"' -!dEXJ-(#? K-((d ?5"' .!dEX3.(#? 4.)g ?5"' /!dEX/(#? /)j ____________ ! ![%1i1Form28j03._cpea_