Book Online
Skip to content
Office Hours: Mon-Fri 9:00 AM-5:00PM, Service Available 7 Days, Service Hours: 8:00 AM-8:00 PM
877-570-9991
info@deepcleanersofamerica.com
Deepcleaners of America
Deepcleaning Services | Rockford, IL
Home
Services
Our Work
About
Blog
Contact
Residential
Business
Employment
FREE QUOTE
Home
Services
Our Work
About
Blog
Contact
Residential
Business
Employment
CONTACT US
Online Employment Application
QUICK FORM
An Equal Opportunity Employer
We do not discriminate on the basis ofrace, color, religion,nationalorigin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.
Answer each question fully and accurately. No action can be taken on this application until you have answered all questions. Use blank paper if you do not have enough room on this application. PLEASE PRINT, except for signature on back of application. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.
Job Applied for
Date
MM slash DD slash YYYY
Are you seeking:
Full-time
Part-time
Temporary
Employment? When could you start work?
Last Name
(Required)
First Name
(Required)
Middle Name
(Required)
Present Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
(Required)
Your Phone
(Required)
Are you 18 years of age or older?
Yes
No
(If you are hired, you may be required to submit proof of age.)
Social Security #
If hired, can you furnish proof you are eligible to work in the U.S.?
Yes
No
Have you ever applied here before?
(Required)
Yes
No
If Yes, when?
Were you ever employed here?
(Required)
Yes
No
If Yes,
Have you ever been convicted of any law violation?
(Required)
Yes
No
Include any plea of “guilty” or “no contest.” Exclude minor traffic violations.
when?
If Yes, give details
(A conviction will not necessarily disqualify an applicant for employment.)
If employed, do you expect to be engaged in any additional business or employment outside of our job?
Yes
No
If yes, give details
(A conviction will not necessarily disqualify an applicant for employment.)
For Driving Jobs Only: Do you have a valid driver’s license?
Yes
No
Driver’s License Number
Class of License
State Licensed In
Have you had your driver’s license suspended or revoked in the last 3 years?
Yes
No
If yes, give details:
List professional, trade, business or civic activities and offices held.
(Exclude labor organizations and memberships which reveal race, color, religion, national origin, sex, age, disability or other protected status.)
LIST NAME AND ADDRESS OF SCHOOLS
High School / GED
Number of Years Completed
Diploma / Degree / Certificate
Subjects Studied
College or University:
Number of Years Completed
Diploma / Degree / Certificate
Subjects Studied
Vocational or Technical:
Number of Years Completed
Diploma / Degree / Certificate
Subjects Studied
What skills or additional training do you have that relate to the job for which you are applying?
What machines or equipment can you operate that relate to the job for which you are applying?
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. if self-employed, give firm name and supply business references. Note: A job offer may be contingent upon acceptable references from current and former employers.
NAME OF EMPLOYER
JOB TITLE AND DUTIES
ADDRESS
DATES OF EMPLOYMENT
START DATE
MM slash DD slash YYYY
END DATE
MM slash DD slash YYYY
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
PAY: START $
FINAL $
SUPERVISOR(S)
TELEPHONE
REASON FOR LEAVING
Employer 2:
NAME OF EMPLOYER
JOB TITLE AND DUTIES
ADDRESS
DATES OF EMPLOYMENT (MO/YR)
FROM DATE
MM slash DD slash YYYY
TO DATE
MM slash DD slash YYYY
CITY
STATE
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP CODE
PAY: START $
FINAL $
SUPERVISOR(S)
TELEPHONE
REASON FOR LEAVING
NAME OF EMPLOYER
JOB TITLE AND DUTIES
ADDRESS
DATES OF EMPLOYMENT (MO/YR)
START DATE
MM slash DD slash YYYY
END DATE
MM slash DD slash YYYY
CITY
STATE
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP CODE
PAY: START $
FINAL $
SUPERVISOR(S)
TELEPHONE
REASON FOR LEAVING
NAME OF EMPLOYER
JOB TITLE AND DUTIES
ADDRESS
DATES OF EMPLOYMENT (MO/YR)
START DATE
MM slash DD slash YYYY
END DATE
MM slash DD slash YYYY
CITY
STATE
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP CODE
PAY: START $
FINAL $
SUPERVISOR(S)
TELEPHONE
REASON FOR LEAVING
Have you worked or attended school under any other names?.
Yes
No
If yes, give names:
Are you presently employed?
Yes
No
If yes, whom do you suggest we contact?
Have you ever been fired from a job or asked to resign?
Yes
No
If yes, please explain:
Give three references, not relatives or former employers.
Name
Address
Phone
What type of commitment can you give to this job? (How long?)
Why are you interested in this job?
When cleaning a building, list the order (first to sixth) you would do the following duties:
Mopping
Number
Vacuuming
Number
Empty Trash
Number
Glass - Mirrors
Number
Sweeping
Number
Dusting
Number
Furniture - Surfaces
Number
Do you have any current or previous professional cleaning or janitorial experience? If so, how long?
Carpet cleaning or equipment?
Years
Months
Floor care and equipment?
Years
Months
Window cleaning and equipment?
Years
Months
Professional cleaning?
Years
Months
Do you have access to the internet at home?
Do you have a smartphone or another portable device that allows you to access apps? If so, please list what type.
Can you be reached on your cell phone after work hours?
Yes
No
If hired, when are you available to begin working for our company?
Consent
I agree to the privacy policy.
CONTACT INFO
NO SOLICITATIONS
Phone
877-570-9991
Email
info@deepcleanersofamerica.com
Hours
Office Hours:
Monday-Friday, 9:00 am – 5:00 pm
Service Hours:
Services available 7 days per week
Monday-Sunday, 8:00 am to 8:00 pm
Address
101 N. Alpine Rd.
Rockford, IL 61107
Employment
employment@deepcleanersofamerica.com
CLICK HERE
to visit our Careers & Employment page.
Go to Top