Application for Employment

Red River Sanitors Inc. is a family owned company with 40 years of uninterrupted growth. We are one of the most respected cleaning contractors in Louisiana. We appreciate your interest in joining our family! A clear understanding of your background and work history will enable us to evaluate your qualifications and place you in the account that will benefit both you and the client. The accuracy and completeness of this on-line application is important, therefore, please reply to all the questions that you are able to answer. Your application will be considered active for 60 days - for consideration beyond 60 days please re-apply in two months.

Qualifications:

We Offer:

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application processor, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness, or physical handicap, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

Personal Information  

Today's Date (MM/DD/YY):

Full Name:

Home Phone: Work Phone:

Current Address:
Street:

City: ST: Zip:

Previous Address:
Street:

City: ST: Zip:


Availability

  

For what position are you applying?
Willing to consider other positions

What date can you start? (MM/DD/YY)

What category would you prefer? (Choose One)
Full-Time Part-Time Temporary Labor Pool

For which schedules are you available? (Check any or all that apply)
Weekdays Weekends Evenings Nights Overtime Shift
Other:

*Reasonable efforts will be made to accomodate religious beliefs and practices.

Job-Related Skills  

*Note: Do not fill out any part of this section you believe to be non-job related.

If the job requires, do you have the appropriate valid drivers license?
Yes No
Name on License: DL#:
Type: State of issue:

Have you had any moving violations?
Yes No
Please describe:

Please list any other skills, licenses or certificates that may be job related or that you feel would be of value to this job or company:

Have you been given a job description or had the essential functions of the job explained to you?
Yes No

Do you understand these essential functions?
Yes No

Can you perform the essential functions of this job with or without reasonable accommodation?
Yes No

List languages in which you are fluent (including English):

Security  

List states and counties of residence for the past seven years:

Have you used any names or Social Security Numbers other than given above?
Yes No
If so, please list:

Have you been convicted of a crime in the past seven years? If so, please describe in the boxes below.
Yes No
*Note: Conviction will not necessarily be a bar to employment. In accordance with company policy and applicable state and federal laws, factors such as age at time of the offense, remoteness of the offense, time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.

Incident 1:
Date: City: ST:
Charge:

Incident 2:
Date: City: ST:
Charge:

Comments:

Previous Employers  

*PLEASE NOTE: Your application will NOT be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the CORRECT telephone numbers of past employers are critical. For employers outside the US, a current FAX number is mandatory.

MOST RECENT EMPLOYER:
Are you currently working for this employer?
Yes No
If yes, may we contact them?
Yes No
Company Name:
City: ST:
Supervisor Name:
Phone: Fax:
Job Title:
Salary: $ per hour week month.
Duties:
Reason for leaving:

SECOND MOST RECENT EMPLOYER:
Company Name:
City: ST:
Supervisor Name:
Phone: Fax:
Job Title:
Salary: $ per hour week month.
Duties:
Reason for leaving:

THIRD MOST RECENT EMPLOYER:
Company Name:
City: ST:
Supervisor Name:
Phone: Fax:
Job Title:
Salary: $ per hour week month.
Duties:
Reason for leaving:


References  

*Include only individuals familiar with your work ability. Do not include relatives.

Reference 1:
Name: Phone:
Address:
Years known: Relationship:

Reference 2:
Name: Phone:
Address:
Years known: Relationship:


Education  

*Note: Do notfill out any part of this section you believe to be non-job related.

Highest Grade Level Completed:
1 2 3 4 5 6 7 8 9 10 11 12 (HS Grad)
College: 13 14 15 16 16+

High School:
Name: City: ST:
Did you graduate? Yes No

College:
Name: City: ST:
Did you graduate? Yes No
Degree:

Other:
Name: City: ST:
Did you graduate? Yes No
Degree:



 

 

©2010 Red River Sanitors