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Algonquin IL 847-844-3434 * Crystal Lk IL 815-788-0200 * Palatine, IL 847-991-4900












Thank you for your interest in becoming a part of the DenaliClean Family.

Please fill out the following application COMPLETELY.

 YOUR CONTACT INFORMATION:
Your Name : * REQUIRED ( Last, First, Middle)
Your Phone : * REQUIRED ( With Area Code)
Your Email : * REQUIRED
Street : * REQUIRED
City : * REQUIRED
State :
Zip Code :
Required Information for Application of Employment
Are you 18 years or older?
Yes
 
Are you prevented from lawfully becoming employed in this country because of visa / immigration status?
Yes No

EMPLOYMENT DESIRED:

POSITION DESIRED
DATE YOU CAN START
SALARY DESIRED phr?
EVER APPLIED WITH DENALI BEFORE,
IF YES WHEN
Referred By:

 

EDUCATION:

Grammar School Name
Grammar School Location
Years Attended
Did you Graduate?
High School Name:

High School Location
Years Attended
Did you Graduate?
College Name
College Location
Years Attended
Did you Graduate? Subjects?

Trade, Business, or Correspondence Name

Location

Years Attended

Did you Graduate?

GENERAL INFORMATION:
Subjects of special study or research work:

Special Skills


Activities
( Civic , Athletic, Etc.- Exclude organizations which indicate the race, creed, sex, age, marital status, color, or nation or orign of its members)


U.S. Military or Naval Service? / Rank / Present Membership in National Guard or Reserves?


FORMER EMPLOYERS:

From - To:
Name & Address of Employer
Phone
Salary / Position
Reason for Leaving
*********************************************************************************
From - To:

Name & Address of Employer

Phone

Salary / Position

Reason for Leaving

*********************************************************************************
From - To:

Name & Address of Employer

Phone

Salary / Position

Reason for Leaving

**********************************************************************************
Which of these did you enjoy best? Please answer either 1, 2, or 3

What did you enjoy the most about this job?

***********************************************************************************
References :
Name,

Address

Phone

Business

Years Acquainted


Name,

Address,

Phone

Business

Years Acquainted:

Name,

Address,

Phone

Business

Years Acquainted:

Electronic Signature: Date:

Your electronic signature to this application certifies the following: I certify that all the information submitted by me on this application is true and complete. I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed my employment may be terminated at anytime. I do note that Illinois is a State of "AT WILL EMPLOYMENT". In consideration of my employment I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated with or without cause and with or without notice, at either my or the company's option. I also understand that the terms and conditions of my employment should I be hired may be changed with or without cause and with or without notice at any time by the company. I understand that no company representative other than it's PRESIDENT, and then only when in writing and signed by the President has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. With my electronic signature I hereby authorize DenaliClean and/or it's Human Resource Department to verify my information including job history as well as references., I also hereby accept, and understand, the terms of application as listed above.

Denali Clean is an equal opportunity Employer, This form has been revised to comply with the provisions of the Americans with Disabilities Act and the final regulations and interpretive guidance promulgated by the EEOC on July 26, 1991. This form has been designed to stricly comply with State and Federal fair employment practive laws prohibiting employment discrimination. This application for Employment Form has been revised to fit the internet application taken from TOPS, assuming no responsibility for the inclusion in said form or any questions which, when asked by the Employer of the Job Applicant may violate State and/or Federal Law.

 

 

 

 

 

 

Algonquin IL 847-844-3434 * Crystal Lake IL 815-788-0200 * Palatine, IL 847-991-4900