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Hours & Info

221 Farmington Drive
Harvest, AL 35749
(256) 323-3600
Mon - Fri: 8:00 a.m. - 6:00 p.m.

Employment Application

If you are interested in becoming part of the Clean Supreme Team, please complete the following:

    Applicant Information

    First Name (required)
    Last Name (required)
    Email (required)
    Phone (required)
    Address (required)
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    Date Available (required)
    Hours Per Week (required)
    Position Applied For (required)
    Do you have your own transportation? (required) YESNO
    Do you have a driver's license? (required) YESNO
    Are you a citizen of the United States? (required) YESNO
    Are you authorized to work in the U.S.? (required) YESNO
    Have you ever worked for this company? (requried) YESNO
    If yes, when? From:
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    Have you ever been convicted of a felony? (required) YESNO

    Education

    High School
    Address
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    Did you graduate? YESNO
    Diploma:
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    Did you graduate? YESNO
    Degree:

    References

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    Previous Employment

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    Military Service

    Branch:
    Rank at Discharge:
    Start Date:
    End Date:
    Type of Discharge:
    If OTH, please explain:

    Resume

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    Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release:

    Full Legal Name:
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