If you are human, leave this field blank.Join the Clements Cleaning Inc. TeamFirst NameMiddleLast NameAddressCityPhoneEmailDriver's License #Driver's License StateIllinoisMissouri Present Employer Information Present EmployerEmployer PhoneEmployer CityCurrent PositionSupervisorEmployed SinceGross Monthly Salary Previous Employment Previous EmployerPrevious Employment PhonePrevious Employment CityPrevious Employment PositionPrevious Employer SupervisorPrevious Employment DatesPrevious Employer Gross Salary References Reference #1Phone for Reference #Reference #2Phone for Reference #2Reference #3Phone for Reference #3History *HAVE YOU EVER BEEN CONVICTED OF ANY CRIME (misdemeanor or felony) OR SEX CRIME OR ARE YOU REQUIRED TO REGISTER AS A SEX OFFENDER?YesNo If, yes, please explain:Applicant:Applicant hereby authorizes Clements Cleaning Inc. to make any inquiries it deems necessary in the establishment of Applicant’s credit rating and/or other information and references. Applicant further authorizes the references listed herein to relay to Clements Cleaning Inc. any information they require. Applicant understands submission of application is no guarantee or offer of employment. By typing your name (s) in the box (s) below, you agree that the information provided by you or on your behalf is accurate and reliable and authorize Clements Cleaning Inc. to verify the validity of provided information. Background checks and drug testing will be conducted prior to offer of employment and prior to any start date. Additional Background checks & drug testing will be completed randomly thereafter. Do not submit an application if you think you will fail either. Digital SignatureReset SignatureQuestions or CommentsUpon submitting, your information will be forwarded to the proper department. We will be in touch shortly. No phone calls please. Submit