Capital City Cleaning & Supply Application

Capital City Cleaning & Supply Job Application

Completing an application for employment presents a good opportunity for a person to convince a prospective employer that he or she is thorough and well organized. For your benefit and ours, please consider your answers to the following questions carefully and fill out the application completely. Any information provided that is not specifically requested on this application may result in the application being disqualified from consideration.

Capital City Cleaning & Supply (the "Company") is an equal opportunity/affirmative action employer. All qualified applicants will be considered without regard to age, race, color, creed, sex, religion, national origin, marital status, ancestry, citizenship, veteran status, sexual orientation or affectation preference, physical or mental disability, or status with regard to receiving public assistance or any other protected characteristic under Federal, State, or local laws.

Personal Information
* First Name:
First name is required.
* Middle Name:
Middle name is required.
* Last Name:
Last name is required.

* Current Street Address:
Address is required.
* City:
City is required.
* State:
State is required.
* ZIP:
ZIP is required.

Permanent Street Address:

* Home Phone No.:
Phone is required.
* Cell Phone No.:
Phone is required.
Position Information
* Position Applying For:
Position is required.

* Work Schedule Availability:
Monday - Friday 3 - 4 hours 5 - 6 hours Other -
* Desired Location (Madison):
North South East West Surrounding City -

* Desired Wage:
Desired wage is required. Invalid amount.
Hours per week available:

* Do you have any restrictions on the days of the week or hours you can work?
No Yes
If yes, please explain:

* Are you currently working?
No Yes
* How did you hear about us?
Advertisement (name) -
School (name) -
Employee Referral (name) -
Other (specify) -
* Do you know anyone currently or previously employed by Capital City Cleaning & Supply, Inc.?
No Yes
If yes, please list names:
Personal History
* Are you at least 18 years old?
No Yes
* Can you provide verification of your legal right to work in the US?
No Yes

* Have you ever been convicted of any law violation other than minor traffic violations?
No Yes
If yes, please list date and nature of offense:
*** The conviction will only be considered if substantially related to the circumstances of the position. ***

* Have you filed an application with us before?
No Yes
If yes, please list date(s):

* Have you ever been employed by this organization?
No Yes
If yes, please indicate dates and positions held: