Application for Employment

Flash Clean is an equal opportunity employer and does not discriminate in hiring or employment on the basis of Race, Religion, Color, National Origin, Sex, Age, Marital Status, Disability, Veteran Status or any other prohibited basis.

First Name:*

Middle Name:

Last Name:*

Your Email:*

Phone Number:*

Address:*

City:*

State:*

Zip / Postal Code:*

Are you eligible to work in the United States?*

 Yes No

Are you over the age of 18?*

 Yes No

Have you ever been convicted of a crime?*

 Yes No

If yes, Please Explain:

If Hired, would you be willing to consent to a background check?*

 Yes No

What is your means of transportation to work?*

Please Summarize in brief details your qualifications and why you are applying for this position.

Work Experience(List below last four Employers):

Employer 1

From:

To:

Name:

Address of Employer:

Position:

Reason for Leaving

Employer 2

From:

To:

Name:

Address of Employer:

Position:

Reason for Leaving

Employer 3

From:

To:

Name:

Address of Employer:

Position:

Reason for Leaving

Employer 4

From:

To:

Name:

Address of Employer:

Position:

Reason for Leaving

by Clicking Submit, I certify that the information provided in this application is true and complete.