Status Glo Application

Application

Name(Required)

First Middle Last

Cover Letter Upload(Required)

Accepted file types: docx, pdf, Max. file size: 300 MB.

Resume Upload(Required)

Accepted file types: docx, pdf, Max. file size: 300 MB.

Headshot Upload(Required)

Accepted file types: jpg, jpeg, png, webp, Max. file size: 300 MB.

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Previous Address

Street Address Address Line 2 City State ZIP Code

If less than 5 years at present address

Primary Phone(Required)

Secondary Phone

Email(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Driver's License Number(Required)

State Issued(Required)

How did you hear about this job?(Required)

Do you know or are you related to anyone who works for Status Glo?(Required)

Yes

Driving is a requirement of the job. Is your drivers license valid?(Required)

Yes

Do you have full time access to a vehicle?(Required)

Yes

Is your vehicle in good working condition?(Required)

Yes

Is your vehicle covered by liability insurance?(Required)

Yes

If yes, what company?

Policy Number

Make of Vehicle

Car Year

Car Model

Are you able, at the time of employment, to submit Verification of your legal right to work in the U.S.?(Required)

Yes

Verification and completion of the I-9 form must be submitted no later than 3 business days after hire.

Are you able to lift 25 pounds or more?(Required)

Yes

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

Yes

Are you allergic to Household Chemicals?(Required)

Yes

Are you allergic to cats and / or dogs?(Required)

Yes

Are you afraid of cats and / or dogs?(Required)

Yes

Availability

What hours are you available to work?

Monday Start Time(Required)

Monday End Time(Required)

Tuesday Start Time(Required)

Tuesday End Time(Required)

Wednesday Start Time(Required)

Wednesday End Time(Required)

Thursday Start Time(Required)

Thursday End Time(Required)

Friday Start Time(Required)

Friday End Time(Required)

If hired, when could you start work?(Required)

Work History

Are you presently employed?(Required)

Yes

If yes, may we contact your present employer?(Required)

Yes

Not currently employed

Which of the following categories of jobs have you had?(Required)

Work Experience

List below your last three employers, starting with your present or last place of employment. You may include in such history any verified work performed on a volunteer basis.

Employer Name(Required)

When did you work for this employer?(Required)

Please include month and year of start and end date.

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If business no longer exists, leave blank

Position(Required)

Salary(Required)

Supervisor's Name(Required)

First Last

Supervisor's Phone Number

Reason for Leaving(Required)

Employer Name(Required)

When did you work for this employer?(Required)

Please include month and year of start and end date.

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If business no longer exists, leave blank

Position(Required)

Salary(Required)

Supervisor's Name(Required)

First Last

Supervisor's Phone Number

Reason for Leaving(Required)

Employer Name(Required)

When did you work for this employer?(Required)

Please include month and year of start and end date.

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If business no longer exists, leave blank

Position(Required)

Salary(Required)

Supervisor's Name(Required)

First Last

Supervisor's Phone Number

Reason for Leaving(Required)

Education

Did you graduate high school?(Required)

If yes, where?

Include the state.

If you went to college, where?

If you graduated, what degree(s) do you have?

Did you go to trade, business, or graduate school? Where if so?

Have you ever been convicted of a criminal offense?(Required)

Yes

If yes, explain.

Have you ever been bonded?(Required)

Yes

Note: Due to the security-sensitive nature of the job, all employees are required to be bonded. As a matter of policy, the company conducts a police background and driving record check on any applicant in consideration of hiring.

Has you driver's license ever been suspended?(Required)

Yes

If yes, explain.

Personal References

List the names of three persons not related to you, whom you have known at least three years.

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Years Known(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Years Known(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Occupation(Required)

Phone(Required)

Years Known(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pick Only One(Required)

I NEED this job

I WANT this job

(hint: there is no “right or wrong” answer, we just want to know you better in order to fill your schedule)

Why are you interested in working for Status Glo Cleaning?(Required)

Why you think you are a good for this company?(Required)

How long do you see yourself working here?(Required)

This field is for validation purposes and should be left unchanged.

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