Corporate Clean in Peoria IL | Apply for a Job Now

Name (or Company Name if Sub Contractor)

First Last

Primary Phone Number*

111-222-3333

Secondary Phone Number

111-222-3333

Email*

Address*

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

What position are you applying for?*

If other, what position are you applying for?

Do you have your own tools?

Yes
No

FEIN #

Do you carry Workers' Comp Insurance?

Yes
No

Do you have any snow customers of your own?

Yes
No

Do you have equipment available for snow removal?

Yes
No

What equipment do you have available for snow removal?

If you are interested in being Sidewalk Worker, do you have a truck that can carry a snow blower and salt bags?

Yes
No
Not applying to be a sidewalk worker

In order to work for Corporate Clean you must supply a copy of your MVR (Motor Vehicle Record). Can you do this?

Yes
No

What programs do you have experience with?

Microsoft Word
Microsoft Excel
Microsoft Power Point
Microsoft Outlook
Microsoft Access
QuickBooks
Other

If you have experience with other software please specify.

Do you have a driver's license?*

Yes
No

Driver's License Number

Do you have a Commercial Driver's License (CDL)?*

Do you have auto insurance?*

Yes
No

*

Policy Number *

*

Insurance Company (ex. State Farm) *

*

Expiration Date *

Have you ever been convicted of a felony?*

Yes
No

The year you were released from Prison?

If you have been convicted of a felony please explain.

Are you on probation now?

Yes
No

If you are on probation now please explain.

Are you able to pass a drug test?*

Yes
No

List Former Employers (or) references if you are interested in being Sub-Contractor*

Previous Employer name	Position	Street Address	City	State	Phone	Supervisor	Pay	Reason for Leaving

Please list last three employers

What is your highest level of education?*

How did you find Corporate Clean?

If employee reference, who referred you to Corporate Clean? Or if other, please specify.

Is there anything else Corporate Clean should know? (health issues? equipment you own? equipment you can operate? programs you have experience with?)*

Agree to terms and conditions*

As an applicant, and/or if I am employed by Corporate Clean I have read, understand, and specifically agree to abide by all of these rules and procedures at all times during my employment and/or association at Corporate Clean.

Upload Resume (Optional)

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