Job Application Form l Shine Seattle

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PERSONAL INFORMATION

All information contained in this form will be kept confidential and reserved for company use only.

Your First Name: *

Your Last Name: *

Your Phone Number: *

Your best Email Address: *

What is your home Street Address, Number, City, State and Zip Code? *

Are you able to work in United States?

Yes

Clear selection

Are you 18 or older? *

Yes

What is your Date of Birth: *

YYYY

Have you been convicted of a felony or been incarcerated in connection with a felony in the past 7 years? We conduct a police background and driving record check on any applicant in consideration for hiring.
*

Yes

What position are you applying for? *

Full-time Employee

Part-time Employee

How did you hear about this position?

What is your expected Hourly Rate? *

What is your expected Weekly Earnings? *

If you are hired, when can you start work?

YYYY

Person to contact in case of emergency:

Emergency person's telephone number:

Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties?
*

Yes

What's your Driver's License #:

Your Social Security Number or ITIN #

PERSONAL REFERENCES

List the names and phone numbers of 3 persons not related to you, whom you have known for at least three years.

Previous work experience:
Name and Phone Number of current or most recent employer: *

By sending, I hereby cerify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also consent for former empolyers to be contacted regarding work records.
*

Yes. I agree with the terms.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms