Neat Street Services
2685 Lapeer Road,
Suite 201
Auburn Hills,
Michigan 48326
877-678-3344 phone
248-969-3354 fax
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| Date of Application:
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| Name in Full - First, Middle, Last:
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| Phone Number that you can be reached at:
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| Social Security Number
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| Present Address
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| City
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| State
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| Zip Code
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| Previous Address for last 3 years:
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| Are you over 18 years of age?
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| Yes
No
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| Highest Education Level Completed?
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| Do you own a vehicle to get to work?
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| Yes
No
Sometimes
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| You have been given a brief job description, are you able to safely perform these tasks? (see website)
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| Yes
No
Maybe
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| If no, what accommodations could Neat Street make which would enable you to perform the job functions properly and safely?
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| Name of person to be notified in case of emergency:
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| Emergeny contacts phone number:
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| Are you able to work Full Time?
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| Yes
No
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| Which shift 8:00a to 4:30p or 4:30p to ?
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| Are you able to work Part Time?
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| Yes
No
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| Which shift 8:00a to 4:30p or 4:30p to ?
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| How many hours do you desire to work: 10-20, 20-30, 30-40, other?
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| Are you available to work weekends?
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| Yes
No
Sometimes
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| What wage do you expect to receive?
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| Employment History: List name, address, phone number, dates worked, in date from previous employer first:
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| Employer #2:
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| Employer #3:
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| References: Name 3 persons, other than relatives, former employers, include what your affiliation is with them, address and phone number:
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| Reference #2:
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| Reference #3:
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| Reference #4:
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| Have you ever swept? with what?
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| Have you ever mopped?, with what?
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| Have you ever carpet cleaned? with method?
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| Have you ever window cleaned? with what and what products?
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| Have you ever disinfected a restroom? commercial or residential?
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| Have you ever stripped floors?
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| Yes
No
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| Have you ever finished floors?
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| Yes
No
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| Have you ever used a high speed burnisher?
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| Yes
No
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| Have you ever used a buffer?
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| Yes
No
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| Have you ever team cleaned?
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| Yes
No
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| Have you ever cleaned professionally on your own?
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| Have you been trained? explain:
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| Have you ever operated a calculator?
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| Yes
No
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| Have you ever operated a typewriter?
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| Yes
No
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| Have you ever operated a computer? If so, what programs have you worker with?
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| Have you ever used a multi-line phone?
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| Yes
No
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| Have you ever done telemarketing?
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| Yes
No
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| List any other secretarial work?
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| Are you currently advertising to clean?
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No
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| Are you currently cleaning for someone else?
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| Have you ever been denied a license, permit or privilege to operate a motor vehicle?
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| Yes
No
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| Has any license, permit or privilege ever been suspended or revoked?
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| Yes
No
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| If the answer to either question 50 or 51 is yes, please give a statement giving details:
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| Have you ever been convicted of a crime other than minor traffic violations?
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| Yes
No
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| If yes, explain fully. A criminal conviction will not necessarily be a bar to employment. Any relevant factors such as age at time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account.
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| Equal Employment Opportunity Policy: Applicants are considered for all positions without regard to race, color, religion, sex, national origin, are, marital or veteran status, or the presence of a non-job related medical condition or handicap.
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| I authorize investigation of all statements contained in the attached application. I understand that misrepresentation of omission of facts called for is cause for dismissal.
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| I have read and understood questions 56 and 57.
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No
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| The following is strictly for informational purposes only. You are under no obligation to answer any of the following questions.
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| Have you applied for a position with our company in the past?
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| Are you working now?
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| When could you begin work at our company?
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| What type of relationship do you have with your supervisor in your present (or last) position?
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| Have you ever been fired? If so why?
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| Would your previous employer rehire you if you applied and a position was open?
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| How many days have you been absent from work for any reason in the past year?
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| How many times have you been late for work for any reason in the past year?
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| How will your supervisor rate your performance on your present (or last) job?
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| Have you ever supervised the work of others?
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| Do you consider yourself the best at what you do at work?
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| Do you prefer to work as a team or alone?
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| How do you plan to get to work on a daily basis?
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| What are you looking for in a job?
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| Is the location of your assigned building important to you?
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| Are you willing to commute across town to work at a location?
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| If, not how far are you willing to travel?
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Your Name:
Your Email:
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