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Employment Application

Apply Today

Please fill out our online application thoroughly. A representative will contact you in regards to eligibility of employment.

Name

Phone

Email Address

Emergency Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Position Applying For

Are you 21 years of age or older?YesNo

If not 21 years of age, please list your age?

Have you ever been employed by this company in the past?YesNo

If you have been employed with us, please list the dates and location

I certify that I am a U.S. Citizen, Permanent Resident, or a Foreign National with authorization to work in the United StatesYesNo

Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withhold judgement to a felony?YesNo

If Yes, Please explain

Have you had any accidents in the past 3 years?YesNo

If yes, please explain

Have you had any moving violations in the past 3 years?YesNo

If yes, please explain

Please provide current or previous employer information below

Company Name 1

Name of Supervisor

May we contact your employer?YesNo

Supervisor Phone Number

Work Address

City

State/Province

ZIP / Postal Code

Is this your current employer?YesNo

Start Date

End Date

Starting Pay

Ending Pay

Reason For LeavingIf current employer, please put NA (be specific)

Company Name 2

Name of Supervisor 2

May we contact your employer?YesNo

Supervisor Phone Number

Work Address

City

State/Province

ZIP / Postal Code

Is this your current employer?YesNo

Start Date

End Date

Starting Pay

Ending Pay

Reason For LeavingIf current employer, please put NA (be specific)

Reference 1Please provide the name, phone number, and relationship of reference

Reference 2Please provide the name, phone number, and relationship of reference

Reference 3Please provide the name, phone number, and relationship of reference

Important!

A valid driver's license is required to work for Jacketta Sweeping. You must submit a valid driver's license upon completion of application, prior to being hired by Jacketta Sweeping.

You must also provide a copy of a valid Social Security Card upon being hired by Jacketta Sweeping.

I agree that all information is accurate. I agree that Jacketta Sweeping may contact previous employers and references based on the answers I have provided. I understand that this application does not mean that I am being hired by Jacketta Sweeping, and that based on my qualifications Jacketta Sweeping may or may not extend an offer of employment. *I Agree

Family owned and operated since 1968, Jacketta Sweeping Service is the leader for parking lot and street sweeping services in Utah. Serving commercial, industrial construction and municipal customers.

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Contact Info

2475 South 2570 West West Valley City, Utah 84119
(801) 973-6976
office@jackettasweeping.com

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