Job Application Name(Required) First Name Last Name Current Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Phone NumberEmail(Required)Email Address SSN/EIN(Required)Social Security or EINDOB(Required)Date of Birth MM slash DD slash YYYY ID Number(Required)NumberID State(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateBusiness Type(Required)What type of business are you? Sole Proprietorship/Individual Limited Liability Co. Other Business LicensesDo you hold any Professional Business Licenses? Add RemoveOther Employment(Required)Do you perform other Contractor Services or have other employment? Yes No Unavailable Times(Required)Please list hours and/or days you are not available to perform tasks for CCS: Add RemoveLiability Insurance(Required)Do you carry any liability insurances? Yes No Liability Insurance Type(Required)What types? General Liability Worker's Comp Bonds Auto Other DUI(Required)Have you ever been convicted of driving under the influence of drugs/alcohol? Yes No Drug Conviction(Required)Have you ever tested positive, or refused to test on any pre-employment drug or alcohol test administered by an employer which you applied, and was not hired during the past three (3) years? Yes No Felony Conviction(Required)Have you ever been convicted of a felony? Yes No Felony States(Required)In what states?Felony Explanation(Required)Please explain in detail your conviction circumstances and how long you served your sentenceResume(Required)ResumeAccepted file types: pdf, doc, docx, Max. file size: 10 MB.Terms(Required)This is to inform you that Commercial Cleaning Services may request a consumer report from a consumer reporting agency in connection with your application for joining Commercial Cleaning Services as an independent contractor. Any information contained in these reports may be taken into consideration in evaluating your application. For Commercial Cleaning Services purposes, a consumer report consists of a credit check, criminal history records, motor vehicle records, education and independent contractor employment history. The Federal Fair Credit Reporting Act is designed to promote accuracy, fairness and privacy of information in the files of every CRA. Most CRAs are credit bureaus that gather and sell information about you to creditors, employers, landlords and other businesses. As part of the FCRA, a CRA may not provide information about you to a prospective Company without your written consent. If it appears likely an adverse decision regarding your association with Commercial Cleaning Services may be made based entirely or in part on information contained in these reports, you may be notified of this possibility before a final decision is made. At that time, you will be provided with a copy of any consumer report(s) Commercial Cleaning Services has obtained on you, as well as a summary of your rights under the FCRA. Your consent is required by law for the release of this information. Your signature on this form indicates you have carefully read and understand this notice and authorizes the release of a consumer report to Commercial Cleaning Services for the purposes described above. I understand and agree to these terms(Required)Signature(Required)Signature Download/Print Application