THIS PAGE IS TEMPORARILY OFFLINE Please enable JavaScript in your browser to complete this form. - Step 1 of 2PERSONAL INFORMATIONFirst Name *Last Name *Email *Phone *Address Line 1 *Address Line 2City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest ViginiaWisconsinWyomingZip Code *EMPLOYMENT ELIGIBILITYAre You Legally Authorized To Work In The United States? *YesNoSelect Work Authorization *I am a US citizen with a Social Security numberI am a permanent US resident with a Green CardI am a temporary US resident with a Work PermitYou must provide documentation that you are legally eligible to work in the United States.Work Authorization Required We're sorry but you must be legally eligible to work in the United States. We are unable to process your application at this time. Please contact us if you have further questions. What Position Are You Applying For? *Janitorial SpecialistFloor Cleaning SpecialistOtherHow Did Hear About Us?Premier Floor Care WebsiteInternet SearchSocial MediaEmailReferralOtherDoes Anyone Related To You Work For Premier Floor Care? *YesNoPlease Provide Their Name and Relationship To You *What Languages Do You Speak? *EnglishSpanishOtherWhat Other Languages Do You Speak?Do You Have A Valid California Driver's License? *YesNoWhat Type of Driver's License Do You Have*Class C Non-commercial (Most Common)Class C CommercialClass B Non-commercialClass B CommercialClass A Non-commercial (non-CDL)Class A Commercial (CDL)Class M1Select all that apply.Have You Ever Been Convicted Of A Felony? *YesNoPlease ExplainEMPLOYMENT HISTORYSelect From Below *I have employment historyI am a recent high school or college graduateI am currently a studentPlease add employment history below Please add educational history below Employer 1 Employer Name *Is This Your Current Employer? *YesNoStart Date *End Date *City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest ViginiaWisconsinWyomingOtherMay We Contact This Employer? *YesNoContact NameEmailPhoneAdd Employer 2Add Employer 2Employer 2 Employer Name *Start Date *End Date *City *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest ViginiaWisconsinWyomingOtherMay We Contact This Employer? *YesNoContact NameEmailPhoneEDUCATIONSelect all that apply General Equivalency DiplomaGeneral Equivalency Diploma (GED)GED ID NumberYou can find your GED ID here: https://ged.com/life_after_ged/High School DiplomaHigh SchoolHigh School Name *Did You Graduate?YesNoCity *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest ViginiaWisconsinWyomingOtherWas Your High School In Another Country?YesFrom *To *Country *CollegeCollegeCollege Name *Did You Graduate? *YesNoMajor / MinorCity *State *Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest ViginiaWisconsinWyomingOtherWas Your College In Another Country?YesFrom *To *Country *ADDITIONAL INFORMATIONAdditional InformationTell Us About YourselfNextUpdating preview…This is a preview of your employment application. It has not been submitted yet! Please take a moment to verify your information. You can also select Previous to go back and make changes.Applicant understands that Premier Floor Care is an Equal Opportunity Employer and committed to excellence through diversity. Along with your fully completed application, please enter your full name and date below for this application it to be considered. Acknowledgement *By my signature, I acknowledge that I have read and agree with everything stated above.Signature *Date *Add Attachments Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Use this section to attach resumes, proof of US residency, driver's license, or any additional documentation.PreviousSubmit
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