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Employment Application
Sanitasole is dedicated to providing an excellent employment environment for team members. Please complete the employment form below.

* Required field

Applicant Information

Name:
  *
Address:
  *
City:
  *
State:
  *
Zip Code:
  *
Home Phone:
  *
Cell Phone:
Fax:
Email:
  *
Preferred method of contact:
Date of Birth:
Are you a citizen of the United States?:
Yes
No
If no, are you authorized to work in the U.S.?:
Have you ever worked for this company?:
Yes
No
If yes, when?:
Have you ever been convicted of a felony?:
Yes
No

Job Skills

Listing of Job Skills:

Licensure and Certification

Current Licensure / Certification:
Would you be willing to take a drug test?:
Yes
No
  *
Work Days Available:
Work Hours Available:
What date would you be able to start work?:
What type of work are you seeking employment in?:
Desired Hourly Wages:
$
If other, please specify:

Education

High School:
High School Start Date:
High School End Date:
Did you graduate High School?:
Yes
No
College:
College Start Date:
College End Date:
Did you graduate College?:
Yes
No
Degree::
Other Education:
Other Start Date:
Other End Date:
Did you gradute Other?:
Yes
No
Degree::

References

Please list three professional references of individuals you reported to.
Reference #1
Reference 1 Name:
Reference 1 Company:
Reference 1 Relationship:
Reference 1 Address:
Reference 1 Phone:

Reference #2
Reference 2 Name:
Reference 2 Company:
Reference 2 Relationship:
Reference 2 Address:
Reference 2 Phone:

Reference #3
Reference 3 Name:
Reference 3 Company:
Reference 3 Relationship:
Reference 3 Address:
Reference 3 Phone:

Previous Employment

Please list your three previous employers.
Previous Employment #1
Employment 1 Company:
Employment 1 Address:
Employment 1 Job Title:
Employment 1 Responsibilities:
Employment 1 Start Date:
Employment 1 End Date:
Employment 1 Phone:
Employment 1 Supervisor:
Employment 1 Starting Salary:
Employment 1 Ending Salary:
Employment 1 Reason For Leaving:
Employment 1 May we contact your previous supervisor for a reference?:
Yes
No

Previous Employment #2
Employment 2 Company:
Employment 2 Address:
Employment 2 Job Title:
Employment 2 Responsibilities:
Employment 2 Start Date:
Employment 2 End Date:
Employment 2 Phone:
Employment 2 Supervisor:
Employment 2 Starting Salary:
Employment 2 Ending Salary:
Employment 2 Reason for leaving:
Employment 2 May we contact your previous supervisor for a reference?:
Yes
No

Previous Employment #3
Employment 3 Company:
Employment 3 Address:
Employment 3 Job Title:
Employment 3 Responsibilities:
Employment 3 Start Date:
Employment 3 End Date:
Employment 3 Phone:
Employment 3 Supervisor:
Employment 3 Starting Salary:
Employment 3 Ending Salary:
Employment 3 Reason For Leaving:
Employment 3 May we contact your previous supervisor for a reference?:
Yes
No

Military Service

Branch:
Military Start Date:
Military End Date:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Equal Opportunity Employer: Our Company does not discriminate on the basis of race, color, religion, sex, national origin, age, marital status, or veteran status, disability or any other status protected under applicable law.
Upload your resume.
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STATE LICENSE #9078
218 South Barfield Drive • Marco Island, FL 34145
Phone: 239.389.6100 • Fax: 239.394.9929 • www.Sanitasole.net
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