CONTACT INFORMATION

*Required Fields
First Name* 
Last Name* 
Address* 
City*  State*  Zip Code* 
Home Phone Number * 
Alternative Contact Number

How did you hear about us?
Who referred you?

EMPLOYMENT DESIRED & EXPERIENCE

Position Applying For Start Date
Hourly Rate Required

Full Time Part Time
Days Evenings Weekends # of Hours a Day?

Miles You Are Willing to Travel?
Cities Willing to Travel to?

Commercial Cleaning Experience? Yes No
If YES Medical House Construction Industrial Restaurant Other

Experience in the Following Floor-care Carpet Upholstery Windows
Where When

Are You Legally Authorized to Work In the U.S.? Yes No
18 Years or Older? Yes No

Do You Have Supervisory Experience ? Yes No
How Many Employees?

Have you applied to this company before? Yes
Are you currently employed or in school? Yes
If so, may be contact your current employer? Yes

Past Employment

Availability

Education History

GENERAL INFORMATION

U.S. Military Service Rank
Subject or special study/research work or special training/skills applicable to the job applying for:

Additional Information

Equal Opportunity Employer
Sterling Cleaning Services, Inc. considers all applicants for positions without regard to race, color, religion,
sex, marital status, national origin, disability, sexual orientation or any other similarly protected status.
We also comply with all applicable laws governing employment practices and do not discriminate on
the basis of any unlawful criteria