This application will remain active for 90 days. If you are interested in being considered for employment after that time, please complete a new application.

First Name:

Last Name:

Phone:

Address:

City:

State:

Zip Code:

e-mail:

Position Desired:

Expected Salary:

Best Time To Call:

Previous Address 1 With Year:

Previous Address 2 With year:

How did you learn about us?
Advertisement Friend Walk-in

Have you filed an application with Servpro before?
Yes:   |   No:

If yes, type the month and year:

Were you employed by Servpro of Stark County - BSM or Servpro of West Akron before?
Yes:   |   No:

If yes, type the month and year:

Are you currently employed?
Yes:   |   No:

What are your present working hours? (ex. 8:00 AM to 5:00 PM)

Are you on lay-off and subject to recall?
Yes   |   No

If you are under 18, can you furnish a work permit?
Yes   |   No

Are you a U.S. citizen, or are you otherwise legally authorized to work in the U.S. without any restrictions?
Yes   |   No

How would you get to work?
Personal Vehicle:
Car Pool:
Friend:
Public Transportation:
Other:

Special Skills (Check All That Apply)
Floor Strip & Wax:
General Cleaning:
Supervision:
Floor Buffing:
Secretarial:
Accounting:
Carpet Cleaning:
Restrooms:
Personnel:
Wall Cleaning:
Windows:
PC Literate:

Commercial cleaning equipment operated: List all that apply:

What hours can you work?
Part Time:
Full Time:
Substitute:
Days:
Evening:
Nights:
Early Morning:
Midnights:
Saturdays:
Sundays:

On what date would you be available for work?

Do you have any relatives or friends working for our company at the present time?
Yes   |   No

If yes, type their names:

Are you capable of performing the essential functions of the position for which you are applying with or without reasonable accommodation??
Yes   |   No

If not, What essential job functions would you have difficulty with?

Have you ever been convicted of any felonies/misdemeanors?
Yes   |   No

If so, check all that apply:
Embezzlement:
Shoplifting:
Breaking & Entering:
Assault:
Theft:
Drugs:

Start with your present or last job, including any job related military service assignments and volunteer activities:

Company name:

Company Mailing Address

Company Phone Number:

Name of Supervisor & Their Title:

Dates of Employment: (Month & Year):

Describe Your Work:

Weekly Pay - Start:

Weekly Pay - End:

May we contact this employer?
Yes   |   No

If no, why not?

Reasons For Leaving:

Have you ever worked for another contract cleaning company? (Other than above)
Yes   |   No

If Yes, Name of Company:

Dates Worked:

Job Title:

Work Performed:

Names of Relatives Not Accepted

Name:

Title:

Company:

Phone Number:

Names of Relatives Not Accepted

Name:

Title:

Company:

Phone Number:

High School Name:

High School Address:

Attended Through
9th Grade
10th Grade
11th Grade
12th Grade

Did you graduate?
Yes   |   No

Trade/Technical School Name:

Trade/Tech School Address:

Years Attended
1
2
3
4

Did you graduate?
Yes   |   No

College Name:

College Address:

Years Attended
1
2
3
4
More than 4

Did you graduate?
Yes   |   No

Honors Received:

Please state any additional information you feel may be helpful to us in considering your application:

Please read our Employment Agreement Statement, click here.
You will be asked to sign this form before employment at SERVPRO of Stark County BSM will take into effect. After reading the statement, check the box below.

Yes, I have read the Employment Agreement Statement.