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Application for Employment 


  • Please complete this application completely. Incomplete applications will not be considered.
  • Excel Janitorial Services, Inc. is an equal opportunity employer. We do not discriminate on the basis of race, religion, sex, age, national origin, marital status or disability.
  • Date of birth is required from all applicants and employees to facilitate a background check.


Date of Application: *
Are you applying for Fulltime or Parttime employment?:

Desired rate of pay:

Date you can start:

Last name:

First name:

Middle name:

Street address:



Zip: *

Phone number: *

Alternative phone number:

Email address:

Number of years in Jacksonville:

Method of transportation:

How did you hear about us:

If referred, by Whom or If other, where?

Do we have permission to do a background check?:

If yes, date of birth:

Current employer (if not currently employed mark N/A):

Current employer address:

Current employer zip code:

Current employer supervisor:

Current employer phone number:

Hire date:

Shift schedule:

Current job duties:

Previous employer:

Previous employer address:

Previous employer phone:

Dates worked for previous employer:

Previous employer supervisor:

Previous employer job duties:

Reason for leaving:

Reference #1:

Reference #1 phone:

Reference #2:

Reference #2 phone:

Reference #3:

Reference #3 phone:

What is your longest employment with a company since graduating high school?

Are you seeking employment as a secondary income or will this be your primary income?

If you had an option of preferred shift, would you prefer daytime or evening shift?

When considering quitting a job do you provide a notice?

In your work history, how many days were you absent in a 12-month period?

If you had a conflict with a coworker how would you resolve the issue?

If we were to ask your previous employer about you, what would be the one thing they would say you need improvement on?

If you finish your job duties before your shift ends, what do you do next?

What attributes or skills do you consider valuable to our company?

 Security Code: *   

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