Applicant Information

Todays Date

Your Name*

First

Last

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Phone*

Email*

Date available to start*

Desired salary*

Position applied for

Are you a citizen of the United States?*

Yes

No

If no, are you authorized to work in the United States?*

Yes

No

Have you ever worked for Saver Cleaning Services?*

Yes

No

If yes, when?

Have you ever been convicted of a felony? (Will not necessarily exlude you from consideration)*

Yes

No

If yes, please explain

Education

High School*

Address *

Street Address City State / Province / Region Postal / Zip Code

From - To

Did you graduate?*

Yes

No

References

Reference #1

First

Last

Relationship*

Company

Phone

Reference #2

First

Last

Relationship *

Company

Phone

Reference #3

First

Last

Relationship *

Company

Phone

Previous Employment

Company Name*

Company phone number

Company address

Street Address City State / Province / Region Postal / Zip Code

Supervisor

May we contact?*

Yes

No

Job Title*

Starting salary*

Ending Salary*

Responsibilities*

Start Date & End Date*

Reason for leaving*

Employer #2

Company Name *

Company phone number

Company address

Street Address City State / Province / Region Postal / Zip Code

Supervisor

May we contact? *

Yes

No

Job Title *

Starting salary *

Ending Salary *

Responsibilities *

Start Date & End Date *

Reason for leaving *

Employer #3

Company Name

Company phone number

Company address

Street Address City State / Province / Region Postal / Zip Code

Supervisor

May we contact?

Yes

No

Job Title

Starting salary

Ending Salary

Responsibilities

Start Date & End Date

Reason for leaving

Military Service

Branch of service

Date Enlisted

Date Discharged

Rank at discharge

Type of discharge

If other than Honorable, please explain

Release Form & Submission

If desired, attach Resume in PDF or DOC/DOCX format

If desired, attach cover letter in PDF or DOC/DOCX format

Please print then complete the top portion of the Reference Release form and mail to:

Sarver Cleaning Services

4811B Kings Mountain Road

Collinsville, VA 24078

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Application

Applicant Information

Education

References

Previous Employment

Military Service

Release Form & Submission