Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Availability *

You must be available for at least 2 of the following shifts or else your application will be rejected. Please select your availability below.

Monday 9:00am to 5:00pm

Tuesday 9:00am to 5:00pm

Wednesday 9:00am to 5:00pm

Thursday 9:00am to 5:00pm

Friday 9:00am to 5:00pm

Do you have a valid Ontario driver's licence?

Yes

No

Most recent job start date *

Approximate date.

MM

DD

YYYY

Most recent job end date *

Approximate date. Use today's date if currently working here.

MM

DD

YYYY

Most recent job supervisor name *

Name of supervisor at most recent job.

First Name

Last Name

Second most recent job start date *

Approximate date.

MM

DD

YYYY

Second most recent job end date *

Approximate date.

MM

DD

YYYY

Third most recent job start date *

Approximate date.

MM

DD

YYYY

Third most recent job end date *

Approximate date.

MM

DD

YYYY

Are you currently a student?

Yes

No

Emergency Contact Phone Number *

(###)

###

####

Background Check *

I understand that for insurance reasons Clear Cause Cleaners is required to run a criminal background check on my application should I be considered for the position and I will provide two pieces of I.D. for this purpose.