Model Employment Application
Personal Information
First Name*
Last Name*
Job Applied for
How did you learn of this opening?
Referred By
Date Available
Background / Other Information
Are you legally authorized to work in the United States?* Yes No
Do you have reliable transportation to work?* Yes No
Are you 18 years of age or older?*
    If no, Date of Birth
Yes No
mm-dd-yyyy format

*Required Fields
APPLICANT NOTE - Please read before submitting

This application form is intended for use in evaluating your qualifications for employment. False, misleading or incomplete information on this application are grounds for terminating the application process or, if discovered after employment, terminating employment. Model Cleaners is an Equal Opportunity Employer. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Testing of job-related skills and for the presence of drugs in your body may be required prior and during employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

By checking this box, I certify that I have read and understand the Applicant Note. I understand that this employment application is not an employment contract and that if I am hired, I may voluntarily terminate employment at any time and may be terminated by the employer at any time for any reason. I authorize the verification of any and all information submitted on this application and hereby release any said persons, schools, companies and law enforcement authorities from any liability whatsoever for any damage whatsoever for issuing this information. I also understand the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I further understand that I may be required to submit to a medical review prior to employment and may be required to complete a medical history form and be examined by a medical professional designated by the company.


Optionally Attach Resume

  • Please keep file name limited to 20 characters.
  • Please do not send files in Microsoft Works (.wps) format
  • When uploading a resume, please use the browse button, do not type the filename.
  • Please be patient while file is uploading.
  • The filesize must be less than 4M.
  • DO NOT CLICK Finish more than 1 time.