Braun Cleaning Services

Legal First and Last Name *


Preferred Name


Current FULL Mailing Address: (## Street, City, State, Zip) *


Email Address *


Mobile Phone Number *


Other Phone number


What location(s) are you willing to work?
Lancaster North Towns South Towns Buffalo Cheektowaga Amherst Wheatfield/Cambria Tonawanda Any

All candidates must be eligible for employment in the United States and maintain this eligibility throughout their employment with Braun cleaning Services. Employment is contingent upon the provision of proof of the right to accept employment in the United States. Are you legally Authorized to work in the United States?
Yes No

Please check if you are over 18 years of age.
Yes, I am 18 years of age or older. No, I am under 18 years of age.

If you are under age 18, can you provide a work permit?
Yes No Not Applicable

Were you referred to us and if so please give us their name?


When are you available to start work?


How many hours per week are you looking for?
5-10 hours per week Any 20-25 hours per week 10-15 hours per week 15-20 hours per week

Please specify the hours you are available to work for each day listed (Example) 5pm to 2am). If not available please write (NONE).

Monday


Tuesday


Wednesday


Thursday


Friday


Saturday


Sunday


Why do you want this position? What makes you qualified for this role?


Describe yourself in five words.


Are you a Veteran or active military?
Yes No

Work Expierence (Specify company, length of time at the job and reasons for leaving)


Work Expierence (Specify company, length of time at the job and reasons for leaving)


Work Expierence (Specify company, length of time at the job and reasons for leaving)


High School Diploma or GED?
Yes No

Associates Degree?
Yes No

Bachelors Degree?
Yes No

Graduate Degree(s)?
Yes No

Professional Reference (Name, Email, Phone number and how you know the person)


Professional Reference (Name, Email, Phone number and how you know the person)


Professional Reference (Name, Email, Phone number and how you know the person)


Any other relevant information you would like us to know about you?


I hereby certify that the facts contained in this form are true and complete to the best of my knowledge and understand that if employed, falsified statements on this form will be grounds for immediate dismissal. (Please type your full legal name as your signature). *


Date of this application *