ServiceMaster Professional Cleaning Of Paris
ServiceMaster of Jackson Proudly Serving West Tennessee

Employment Application

servicemaster-objectives

The philosophy of a company is at the core of its business. It defines the way customers are served and people are treated. It is the foundation upon which all else is built. The ServiceMaster philosophy is expressed in four objectives. The first two objectives are end goals. The second two are means goals:

ServiceMaster Restore of Jackson & ServiceMaster Professional Cleaning Services of Paris –  Values

  1. INTEGRITY – Moral & Honest
  2. QUALITY – Meet Or Exceed Industry Standards
  3. PROFESSIONALISM – Competent & Courteous
  4. DEPENDABILITY – Trustworthy & Reliable

* Required Fields

  •  Yes No

Cover Letter / Resume :

Hours :

  •  Full Time Part Time Evening

Personal Data :

Please list all addresses going back 10 years :

Previous address :

  •  Yes No

Occupational objectives :

I'm interested in applying for a position within the following department :
  •  Yes No

Educational record :

  •  High school GED Trade school Some college Associate Bachelor Degree Masters Degree Doctrate Degree

High School :

  •  Yes No

College or University

  •  Yes No

Business / Trade School

  •  Yes No

Other (specify):

  •  Yes No
  •  Highly proficient Daily user Basic user Minimal or no computer skills

General Information

  •  Yes No
  •  Yes No
  •  Yes No
  •  Yes No
  •  Radio Ad Print Ad Internet Employee Relative Walk in School Government Employment Agency Private Employment Agency Other

Please list 3 references:

WORK HISTORY
(Beginning with most recent, list all employers within the past 10 years.)

Business address :

  •  YES, I UNDERSTAND
  • I certify that all of the statements made by me on this application for employment are true, correct, and complete to the best of my knowledge.

    1. Consent To Conduct Background Investigation
    As a condition of and in consideration for ServiceMaster's consideration of this application, I give permission to ServiceMaster to investigate my personal and employment history. I understand that this background investigation will include, but not be limited to, verification of all information on this application, as well as interviews with past employers. I further give permission to ServiceMaster to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.

    2. Consent To Contact Past Employers
    I give permission to ServiceMaster to contact all employers listed in this application (except those specifically excluded) for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with ServiceMaster, consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of ServiceMaster. I further waive all rights I may have under slate law to receive a copy of any written statement provided by any of my former employers to ServiceMaster. I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.

    3. Consent To Contact Government Agencies
    I give permission to any agent, attorney or representative of ServiceMaster to receive a copy of any information obtained in the file of any federal, state or local court, governmental agency, law enforcement agency, or investigator concerning or relating to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate ServiceMaster as my agent for receipt of information. I understand the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity and/or abilities.

    4. Cooperation With Investigation
    I agree to fully cooperate in ServiceMaster's background investigation, and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state or local governmental agency will not release reference information or criminal history information directly to the employer, I agree to personally request such information to the extent permitted by law.

    5. Falsification Statement
    I understand that any falsification or willful omission of fact made in this application or in connection with any background investigation may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.

    6. Employment "At Will"
    In consideration of my employment, I agree to conform to the rules and regulations of ServiceMaster, and my employment and compensation is "at will" in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either ServiceMaster or myself, except as otherwise provided by Law. I understand that no manager or representative of ServiceMaster, other than the General Manager, Vice-President or President of this ServiceMaster, has authority to enter into any agreement for employment for any specified period of time or to make any agreement or contract to the foregoing, and that any promises to the contrary will only be relied upon by me if they are in writing and signed by the General Manager, Vice-President or President of this ServiceMaster.

EMPLOYEE SELF-IDENTIFICATION FORM

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified minorities, women, and veterans. To help us measure how well we are doing, we are asking you to tell us your race, gender, and veteran status.

Completing this form is voluntary, but we hope that you will choose to fill it out. Your answers will be kept private, and will not be used against you in any way. It is our policy to provide equal opportunity to all employees without regard to age, race, ethnicity, color, gender, the presence of a physical, mental or sensory disability, religion, national origin, sexual orientation, military status or any other category protected by local, state, or federal law.

Please fill

1. Are you Hispanic or Latino/a? A person of Cuban, Mexican, Chicano/a, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

 Yes (Skip to question #3) No (Go to question #2)

2. What race or races do you consider yourself to be? (Check all that apply)
 White: a person having origins in any of the original peoples of Europe, the Middle East, or North Africa
 Black or African American: a person having origins in any of the black racial groups of Africa
 Native Hawaiian or other Pacific Islander: a person having origins in any of the original peoples of Hawaii, Guam, Somoa, or other Pacific Islands
 Asian: a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam:
 American Indian or Alaskan Native: a person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment
 I do not wish to Self-Identify)

3. What is your gender?
 Male Female I do not wish to Self-Identify

How do I know if I'm a protected veteran?

You are considered to be a protected veteran if one or more of the following categories apply:

Disabled Veterans

  • A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
  • A person who was discharged or released from active duty because of a service-connected disability.

Recently Separated Veterans
Any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

Active Duty Wartime or Campaign Badge Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

Armed Forces Service Medal Veterans
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA:

 I identify as one or more of the classifications of protected veteran listed above.
 I am NOT a protected veteran.


Protected veterans may have additional rights under USERRA—the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

_______________________________________________

i. Executive Order 11246, as amended.
ii. Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended.

For more information about the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 1/31/2017
Page 1of 2

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or
  • Partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Intellectual disability (previously called mental retardation)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair

Please check one of the boxes below:

 YES, I HAVE A DISABILITY (or previously had a disability) NO, I DON'T HAVE A DISABILITY I DON'T WISH TO ANSWER

Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 1/31/2017
Page 2 of 2

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

_______________________________________________

i. Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

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