(518) 793-8750
Leader in Janitorial Care since 1974

Employment Application

  • Biography

  • (First, Middle, Last)
  • (If Applicable)
    (Check All that Apply)
    If yes, may we contact your employer to obtain employment information?
    (Employment eligibility will be verified upon employment)
    (Employment eligibility will be verified upon employment)
  • Education

  • (Name and Location)
  • (Name and Location)
  • (Name and Location)
  • Skills

  • (Provide this only if it is a requirement of the position for which you are applying.)
  • Employment History

  • References

  • Conviction Record Status

  • Application Terms and Acceptance

    I hereby certify that all of the information I have provided on this Application Form is accurate and complete to the best of my knowledge. I understand that any misrepresentation of omission of facts will disqualify me from further consideration of employment, withdrawal of any offer of employment, or termination of employment if hired. I authorize verification of all of the information that I have provided on the Application Form and understand that additional information may be obtained to consider my application for employment. I authorize all previous employers, education institutions, references, and other persons who have knowledge of me or my records to provide any and all information pertinent to my employment and release the same from any liability resulting from providing such information. I also release North Country Janitorial and all of its employees from all liability for any damage that may result from reliance on the information furnished. If employed by North Country Janitorial, I agree to abide by its policies, procedures, rules, and regulations. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages, be terminated by myself or North Country Janitorial at any time or without cause or notice. I further understand that no policy, rule, or benefit contained in North Country Janitorial’s employee handbook, benefit plans, or other written documents should be considered an employment contract for any period of time.
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