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Central IA:
515-681-7681
| Southern IA:
641-932-4500
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Central Iowa
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Carpet Cleaning
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Water Extraction, Flood Removal & Drying
Air Duct & Dryer Vent Cleaning
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Post-Construction Cleaning
Green Cleaning
Electrostatic Spraying
About Us
Get A Quote
Contact Us
Employment Application
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Albia, Iowa
Centerville, Iowa
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Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
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Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon, or act of dishonesty for which the record has not been sealed or expunged, or do you have such a case pending?
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If yes, when & where?
Date you can begin work
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Are you 18 years of age or older?
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If under 18, you will be required to submit a birth certificate or work certificate as required by federal law.
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GED
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If yes, give name & address of school
If yes, give expected degree date
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List any job-related skills or accomplishments, including military service
Give Three References Who We May Contact
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How do you know them, and for how long?
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How do you know them, and for how long?
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Your Employment History
List name of employers with present or last employer listed first. Please note if we may not contact your present employer until after you are offered a position.
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Duties
Date of Employment
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Type of Pay
Hourly
Salary
Ending Pay
Starting Pay
Reason for Leaving
Name of Employer
Job Title
Supervisors Name
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Duties
Date of Employment
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Type of Pay
Hourly
Salary
Ending Pay
Starting Pay
Reason for Leaving
Name of Employer
Job Title
Supervisors Name
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Duties
Date of Employment
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Type of Pay
Hourly
Salary
Ending Pay
Starting Pay
Reason for Leaving
CAREFULLY READ EACH STATEMENT BEFORE SIGNING AT THE BOTTOM
I certify that all of the information provided in this employment application are true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date. I understand and acknowledge that unless otherwise defined by applicable law or written agreement with Absolute Cleaning Systems any employment relationship with the Company is considered “employment at will.” This means the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause, and with or without advance notice. I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I have read, understand, and agree to the above statements
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Yes
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Date
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