Employment

Employment Application

We are always looking for professional applicants to work with Texas Clean! Please fill out the form below or click the link to the right to print out and bring in your application in person.

Click Here To Download Printable Application
File Size:	211 kb
File Type:	pdf

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Mail applications to:
TEXAS CLEAN
P.O. BOX 12
BROWNWOOD, TX 76804
PHONE: 325-642-2779
EMAIL: [email protected]

Application For Employment

NOTE: Fields that say "Required" must be filled in before you submit the application, otherwise your information will be removed and you will have to start over.

* Indicates required field

Name (Required) *

First

Last

Address *

Email *

Telephone *

Are you 18 Years or Older? *

How did you learn about this position? *

Have you ever applied before? *

Have you ever worked for Texas-Clean before? *

If you have worked for Texas-Clean before, please give details and dates of previous employment: *

Area you would be able to work *

Do you have a Driver's License *

Driver's Licence # / State *

Have you ever been convicted of a crime? *

If yes, please explain *

Previous Employment Company Name *

Previous Employment Telephone *

Previous Employment Dates From / To *

Previous Employment Supervisor Name *

Previous Employment Company Name 2 *

Previous Employment 2 Telephone *

Previous Employment 2 Dates From / To *

Previous Employment 2 Supervisor Name *

Previous Employment Company Name 3 *

Previous Employment 3 Telephone *

Previous Employment 3 Dates From / To *

Previous Employment 3 Supervisor Name *

Have you ever been terminated from employment? If yes, explain. *

Describe any other special job-related skills or qualifications (e.g. military experience/training, bilingual, floor maintenance, cleaning experience) that would be valuable to the position for which you are applying: *

Are you able to with or without accomodation, perform all the essential functions of the job which you are applying for? (A negative response will not automatically disqualify you from being considered for employment) *

If accommodation is needed, you are invited, but not required, to help us employ with our obligation under the Americans With Disabilities Act by describing what you think could be done to accommodate you. *

Emergency Contact Name (First and Last) *

Emergency Contact Relationship *

Emergency Contact Address *

Emergency Contact Phone *

Professional Reference 1 (Provide the information for two professional or personal references other than relatives who have knowledge of your character, experience, or ability) *

Professional Reference 1 Address *

Professional Reference 1 Telephone *

Professional Reference 1 Business *

Professional Reference 2 *

Professional Reference 2 Address *

Professional Reference 2 Telephone *

Professional Reference 2 Business *

Printed Name (First, Middle, Last) *

Upload Resume (if available) *

Max file size: 20MB

Agreement (Required)*

I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I also understand that any falsified information or significant omissions may disqualify me from further consideration for employment and if discovered after I am hired may result in dismissal. In consideration of my being considered for employment, I authorize a thorough investigation of my past employment activities and businesses requesting such information. I understand that if employment is offered and accepted, such employment is not for a specified term and can be terminated at anytime, with or without cause, by either the Employer or me. I further understand that this application is not and is not intended to be a contract of continued employment, and that my at-will employment status cannot be changed except by written document signed by the employer. I understand that this employer might conduct a criminal history check and drug screening before an offer of employment is made to an applicant. I further understand that any employment is conditional upon the return and review of the criminal history and drug screen results. Should I be employed prior to the return and review of my Criminal History Check and drug screen, I understand that my employment will be on an emergency basis conditional.

*** If offered employment in a position which requires driving while on duty, I understand that having a safe driving record which includes maintaining a valid driver’s license, immediately reporting any accidents or traffic violations occurring during your work schedule, and satisfaction of the Department of Transportation and Sate regulations are conditions of my continued employment.

I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. *

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