Application For Employment

Your Name *


Your Email *


Phone Number *


1 Clean Laundry is an Equal Opportunity Employer. It is our policy to abide by all Federal, State, and local laws concerning discrimination in employment. No question in this application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

Address *


Do You Have Reliable Transportation? *
Yes
No

Are You A Smoker? *
Yes
No

Availabiltiy: Are you available for all shifts, 7:30AM - 3:15PM, 3PM - 11PM, M-F & Wekends? *
Yes
No

Have you been convicted of a crime in the past 10 years, excluding misdemeanors and summary offences, which has not been annulled, expunged, or sealed by a court? A conviction record will not necessarily be a bar to employment *
Yes
No

If Yes Please Explain


Education List All, Years Attended and year of Graduation *


Describe any special qualifications, skills, or other relevant training you have: i.e. cash register, computer, bi-lingual etc. *


Why are you the best applicant for the job? *


Employer #1 Name: *


Employer #1 Start date and End date *


Employer #1 Phone number and address *


Employer #1 Reason for leaving *


Employer #1 Supervisor *


May We Contact? *
Yes
No

Employer #2 Name:


Employer #2 Start date and End Date


Employer #2 Phone Number and Address


Employer #2 reason for leaving


Employer #2 Supervisor


May We Contact?
Yes
No

Employer #3 Name:


Employer #3 Start Date and End Date


Employer #3 Phone Number and Address


Employer #3 Reason For Leaving


Employer #3 Supervisor


May We Contact?
Yes
No

Why do you want to work here? *


Which Previous Job was your favorite and why? *


CERTIFICATION and ACKNOWLEDGEMENTI: certify that the information in my application for employment is true and complete to the best of my knowledge. I understand that any incorrect, incomplete, exaggerated or false information furnished by me will subject me to disqualification or to discharge from employment at any time. Further, I understand and acknowledge that any employment relationship with 1 Clean Laundry is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge the employee at any time with or without cause or notice. I further understand that this "at will" employment relationship may not be changed by any expressed or implied contract. AUTHORIZATION: I authorize my former employers and character references to release any information regarding my employment. I hereby authorize 1 Clean Laundry to make any investigation of my background as deemed necessary to verify my qualifications for the position for which I am applying. *
Yes