Employment Application - Grand Rapids Building Services

Date*

Personal Information

Name*

Address*

City*

State*

Zip*

Phone Number

Emergency Number

Email Address*

Are you Legally eligible to work in the United States?

(GRBS will require verification of this upon hire)

Yes
No

Position applying for:

Custodial
Floor Care
Supervision
Management/Administration

Area available to work in:

What other areas?*

Days available to work

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Please select one:

Maximum hours per shift

Please enter a number from 0 to 24.

Hours available to work:

When will you be able to start?

Desired starting wage?

Please enter a number from 0 to 9999.99.

Do you have any of the following experience?

Floor Care
Carpet Cleaning
Inspecting
Training
Supervision

Please explain:*

Have you ever been employed by GRBS

Yes
No

When and where did you work?

What name did you use when employed by GRBS?

What was your reason for leaving?

Have you ever been convicted of a felony?

Yes
No

Please explain:*

Are there any criminal charges currently pending?

(Please note, prior criminal convictions do not necessarily mean you will not be hired)

Yes
No

Employment History: (Please start with the most recent)

Name of Employer

Date

to

Address

Position held

Wage

Please enter a number from 0 to 9999.99.

Supervisior

Reason for Leaving

May we contact this employer?

Yes
No

Name of Employer

Date

to

Address

Position held

Wage

Please enter a number from 0 to 9999.99.

Supervisior

Reason for Leaving

May we contact this employer?

Yes
No

Name of Employer

Date

to

Address

Position held

Wage

Please enter a number from 0 to 9999.99.

Supervisior

Reason for Leaving

May we contact this employer?

Yes
No

By submitting this application, I attest that all information is accurate and complete to the best of my knowledge. I understand that this information will be kept confidential and used only for employment purposes with in GRBS. I understand that falsification of information will result in reject of this application or termination after hire.