HYDRADRY Provides Coronavirus Cleanup Services

Application for Employment

    Pre-Employment Questionnaire

    It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability or other protected classifications.
    Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered

    Employer:
    Position(s) Applied for:

    PERSONAL DATA

    Name:
    Last

    First

    Middle

    Address:
    Street or Mailing Address
    City
    State
    Zip
    Home Telephone Number:
    Business Telephone Number:
    Email Address:
    Date you can start work :
    Salary Desired :
    Do you have a High School Diploma or GED?

    POSITION INFORMATION

    Check all that you are willing to work

    Hours:
    Are you authorized to work in the U.S. on an unrestricted basis?
    Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)

    If yes, explain:
    Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?
    Can you perform these essential functions of the job with or without reasonable accommodation?

    QUALIFICATIONS

    Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.

    School Name
    Degree
    Address/City/State
    School
    School
    Other
    How many years of Water Remediation and/or Carpet Cleaning experience do you have?
    Are you IICRC Certified?

    SPECIAL SKILLS

    List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.

    REFERENCES

    Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.

    Name
    Address/City/State
    Phone
    Relationship

    WORK HISTORY

    Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)

    Job Title #1

    Start Date (mo/day/yr):
    End Date (mo/day/yr)
    Company Name:
    Supervisor’s Name:
    Phone Number:
    City:
    State:
    Zip:
    Duties:
    Reason for Leaving:
    Starting Salary:
    Ending Salary:

    Job Title #2

    Start Date (mo/day/yr):
    End Date (mo/day/yr)
    Company Name:
    Supervisor’s Name:
    Phone Number:
    City:
    State:
    Zip:
    Duties:
    Reason for Leaving:
    Starting Salary:
    Ending Salary:

    Job Title #3

    Start Date (mo/day/yr):
    End Date (mo/day/yr)
    Company Name:
    Supervisor’s Name:
    Phone Number:
    City:
    State:
    Zip:
    Duties:
    Reason for Leaving:
    Starting Salary:
    Ending Salary:
    Upload Resume:

    Applicant Signature
    Date

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