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Personal Details

Name

First Last

Email

How did you hear about CumminsFS?

Contact Details

Address

Street Address Address Line 2 City State Zipcode

Telephone

Cellphone

Education

Do you have a high school diploma?

Yes
No

Where did you complete your high school education?

Do you have a college degree?

Yes
No

Where did you get your college degree?

Title of your degree

Qualifications

Are you 18 years or older?

Yes
No

Are you eligible to work in the United States?

Yes
No

Have you ever pleaded “guilty” or “no contest” to, or been convicted of a felony or misdemeanor crime?

Yes
No

If Yes, please provide date(s) and details:

Years of Custodial Experience

Years of Floor Care Experience

Distance willing to travel to worksite

Availability

Date Available To Start

Minimum Pay Desired

Minimum Hours Per Week

Maximum Hours Per Week

Weekly Availability (Please Describe)

Previous Job History (If Applicable)

Job Title

Employer

Supervisor

Phone

Pay Rate

Duties

Start Date

End Date

Reason For Leaving

Job Title

Employer

Supervisor

Phone

Pay Rate

Duties

Start Date

End Date

Reason For Leaving

Job Title

Employer

Supervisor

Phone

Pay Rate

Duties

Start Date

End Date

Reason For Leaving

Work-Related References

Name

Occupation

Years Known

Phone Number or Email Address

Name

Occupation

Years Known

Phone Number or Email Address

Name

Occupation

Years Known

Phone Number or Email Address

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Select the Job to Apply For

Personal Details

Contact Details

Education

Qualifications

Availability

Previous Job History (If Applicable)

Work-Related References