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EmploymentApplication Download PDF Copy of Application
Thank you for visiting our web site and for your interest in employment.  For your convenience we invite you to fill out and submit this On-Line Application form.  It is important to be as thorough as possible to aid in our review process.  If you prefer, you may access a printable version of our application by clicking the link to the right.  Mail the completed form to the address on the cover. 

We take the business of cleaning very seriously and expect that you will too.  Please take a moment to read the following statements.  If you agree with our business philosophy, then we would like to hear from you.  Once again, thank you for your interest.

  • First and foremost pay attention to the details. Every customer deserves our best work each and every time their account is serviced. Our reputation means everything and has been built over many years. It takes years to build a solid reputation and only a few inattentive moments to tarnish it.
  • Our customers trust us to perform in a professional manner. The actions of our employees not only reflect on our company but on our customers as well. An important part of our professionalism relates to our appearance on the job site. Our employees are required to report to work in a clean presentable uniform with photo ID badge clearly visible.
  • We are considered as invited guests while at job sites ~ show the utmost respect for our customers’ property, security, privacy and confidentiality. Nothing tarnishes a reputation faster than dishonest deeds, actions or other inappropriate behavior.
  • Our company carefully establishes budgets for every location that we serve. Always adhere to the budget for your assigned location ~ disregard for labor budgets results in poor quality and company performance.
  • Communication, dependability, and reliability are critical to our joint success. Show up for work assignments on time and ready for work. The work we perform is important ~ Buttweiler Environmental and its customers rely on our employees to get the job done and to do it right.
(*indicates Required Field)
Pertinent Information
Name*
First Name  
Last Name  
Middle Initial   Today's Date  
 
Present Address*
Street
 Apt. #
City
 State
 Zip
  
How long at present address?
If less than 1 year, list previous address
How long there?
Contact Information *
Email Address
Home Telephone Number (including area code):*
    
Cellular Phone Number (Optional)(including area code):
    
 
Are you under 18 years of age?  Yes   No
Have you been known by another name?    Yes   No   If yes, what?   
Have you worked at Buttweiler Environmental before?    Yes   No   
If yes, explain when and reason for leaving   
Are you acquainted with anyone who is or was employed at Buttweiler Environmental?    Yes   No   
If yes, who?   
How did you hear about employment opportunities at Buttweiler Environmental?
Type of work interested in?
Minimum expected wage or salary?
Date Available:
Hours of availability:
Please indicate all those that apply: Temporary Seasonal Permanent School Year Summer
Please indicate days available: MON TUE WED THU FRI
Some positions require weekend hours on a regular or periodic basis. Please indicate your availability and willingness
to work on weekends:
Saturday's Sunday's
Do you have a physical limitation, impairment, or disability that would prevent you from performing the job(s) applied for?
Since some positions may require driving personal or company vehicles, please provide:
Driver's License No: State of Issue Class
Have you had any moving violations or accidents within the last five years?  Yes   No
If yes, please explain:
Have you ever been convicted of an offense other than a minor traffic violation?  Yes   No
If yes, please explain:
 
Employment History
(Please give an accurate, full-time and part-time employment record. Start with your present or most recent employer)
 Description : 1
 
Employer:
Employment month/year: From:
To:
Street
City
 State
 Zip
 Telephone
Reason for Leaving?
What sort of notice was given?
Position Title:
Supervisors Name and Title:
May we contact this employer?   Yes   No     If not, why?   
Describe the work you did (include skills that you could apply at Buttweiler Environmental)
Hourly rate or salary: Start: End :
 Description : 2
 
Employer:
Employment month/year: From: To:
Street
City
 State
 Zip
 Telephone
Reason for Leaving?
What sort of notice was given?
Position Title:
Supervisors Name and Title:
May we contact this employer?   Yes   No     If not, why?   
Describe the work you did (include skills that you could apply at Buttweiler Environmental)
Hourly rate or salary: Start: End :
 Description : 3
 
Employer:
Employment month/year: From: To:
Street
City
 State
 Zip
 Telephone
Reason for Leaving?
What sort of notice was given?
Position Title:
Supervisors Name and Title:
May we contact this employer?   Yes   No     If not, why?   
Describe the work you did (include skills that you could apply at Buttweiler Environmental)
Hourly rate or salary: Start: End :
 Description : 4
 
Employer:
Employment month/year: From: To:
Street
City
 State
 Zip
 Telephone
Reason for Leaving?
What sort of notice was given?
Position Title:
Supervisors Name and Title:
May we contact this employer?   Yes   No     If not, why?   
Describe the work you did (include skills that you could apply at Buttweiler Environmental)
Hourly rate or salary: Start: End :
 
Have you ever been discharged by an employer? Yes   No
If yes, Please explain all terminations:
List all Periods during which you were unemployed:
How did you spend this time?
If hired at Buttweiler Environmental can you furnish proof that you are eligible to work in the United States?  Yes   No
If hired at Buttweiler Environmental are you prepared to take a physical exam including drug and
alcohol screening?   Yes   No
Military Service
Branch of military - U.S.
Date obligation ends:
Type of discharge and/or current status:
Education
High School
Name and location: Years Completed: 1 2 3 4
Did you Graduate? Yes   No
Course of study? Degree Earned:
College/Vocational
Name and location: Years Completed: 1 2 3 4
Did you Graduate? Yes   No
Course of study? Degree Earned:
References
1.
Name/Relationship:
Address:
Telephone:      
2.
Name/Relationship:
Address:
Telephone:      
Memberships/Hobbies/Volunteerism
In the space below please tell us about yourself such as the types of things you do outside of work like sports, hobbies, collecting, traveling, etc. Exclude those which may disclose your race, color, religion or national origin.

*Terms of Application: Please Read Before Submitting


  

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