English Application

Thank you for your interest in working for Chem-Free. We are a growing company, and we are always looking for great people to join our team.

Our people make us successful and the employment process is an important aspect of building our team.

Please complete the application and submit. Or, print a copy of the application and mail to:

9475 U.S. 290
Austin, Tx 78724

Instructions:

Use the abbreviation "N/A" if a particular provision or section in the form is not applicable to you. Incomplete applications will not be considered.
We will keep your application on file for 6 months. Should an appropriate opening occur, your application will be reviewed along with others. If you are among the most qualified applicants for the position, an interview will be arranged.
It is not necessary for you to contact this office regarding any job openings after you have completed your application. Please notify us in writing if your address or telephone number should change.
Employment decisions are made solely on the basis of qualifications to perform the work for which you are applying. Qualifications include education, training, work experience and other factors which are relevant in determining job performance. Credentials and experience will be verified through schools, former employers, and licensing/certification agencies. As an Equal Opportunity Employer, decisions to hire and promote are made without regard to race, color creed, national origin, gender, pregnancy, physical or mental disability or age (as defined by law).
ABC Home & Commercial Services conducts criminal, MVR and background investigations on all applicants and verifies eligibility of employment through E-Verify. All employees must pass a drug screen. We appreciate your cooperation.

Please select the division for which you are applying: Please list any other departments in which you are interested:

How did you learn of this position?

Employment Guide Newspaper Employee Referral Craigslist Facebook Other

Name of referring employee (if any):

Personal Information

First name:

Last name:

Middle name:

Email Address: Street Address:

City:

State:

Zip Code:

Home Telephone:

Alternate Phone No:

Employment

Position Desired:

Date available to start:

Salary/Wage Desired:

Have you been employed with us before? No Yes

If yes, give date:

Type of employment desired:

Full Time Part Time Temporary

Shifts available to work:

Day Evening Night

Days available to work:

Sun Mon Tue Wed Thu Fri Sat

Do you have access to steady transportation? Yes No

Are you legally eligible for employment in this country? Yes No

Are you age 18 or older? Yes No (If no, hire is subject to verification that you are of legal minimum age to work.)

Are you currently subject to a Non-Compete or Restrictive Covenant that would prohibit you from working at our company in the position for which you are applying? Yes No

Have you ever been convicted or received a sentence for any cause, with the exception of a Class C Misdemeanor Traffic Violation? Yes No

NOTE: A conviction is not necessarily an automatic bar to employment, but a false statement is.

Education/Skills

Select all which you have completed to fill in name, degree, and more:

High School Business, Trade, or Technical College Other

Specific skills and qualifications acquired from employment or other experiences that are related to the position for which you are applying (e.g., computer skills, software applications, and foreign languages):

Military Service

Have you ever served in the Military? Yes No

Employment History

Please provide a COMPLETE employment history for the last 15 years, even if a resumé is submitted with this application. List ALL employers, assignments, or volunteer activities that are relevant to the job for which you are applying, starting with the most recent, including military employment. Explain any gaps in employment in the "Comments" section below.

Preset/Most Recent Employer:

Telephone:

Employer's Address:

Employed from Mo/Yr:

Employed to Mo/Yr:

Job Title:

Immediate Supervisor and Title:

Starting Hourly Rate/Salary:

Final Hourly Rate/Salary:

Reason for leaving, or why are you considering leaving?

If currently employed, may we contact for reference? Yes No

Summarize the nature of the work performed and job responsibilities:

+ Add Previous Employer

COMMENTS (Please explain all periods of unemployment):

References

Name:

Telephone:

Years Known:

In what capacity did this person observe you or your work?

+ Add Reference

Related Employment Information

Have you ever been terminated? Yes No

If yes, please explain:

Operation of Motor Vehicle, Owned or Leased by the Company

The following section must be completed if you are applying for a position which requires the operation of a motor vehicle, owned or leased by the company, or if you must use your own vehicle for company purposes

+ Fill out Operation of Motor Vehicle Section

Other Motor Vehicle Information

Have you been involved in a motor vehicle accident or had any moving violations within the last five (5) years? Yes No

If yes, fill in the details concerning each accident: If you have been convicted of driving while intoxicated or under the influence of drugs or alcohol, please explain:

NOTE: If you are hired for a position which requires driving, you must keep us iformed of any changes in your driving record.

Employers in Texas have a legal duty in regard to each employee's safety. You, your fellow worker's and our customers' safety is of utmost importance to Chem-free. It is neither beneficial to you nor us to place you in a job where you have higher risk of injury because of a mental or physical condition. As an Equal Opportunity Employer, we consider applicants for employment regardless of their disabilities; however, in addition to our own requirement, the Americans with Disabilities Act also require us to make certain that each employee is capable of performing the essential functions of the job. Therefore, you must be honest with us in regard to your personal evaluation as to your abilities to perform the essential functions as described in the job description. If you are unable to perform the essential functions of the job we welcome you to discuss any needs for accommodations that would allow you to perform the job in accordance with the job description.

Are you physically and/or mentally capable of performing the essential functions of the job? Yes No

If no, state the accomodations that would allow you to perform the job:

I certify that all the information given on this application is true, correct, and complete to the best of my knowledge. I also certify that I have accounted for fifteen (15) years of work experiences and any relevant training on this application, and that I have not knowingly withheld any fact or circumstance, which would, if disclosed, affect my application unfavorably.

Chem-free is hereby authorized to make any investigation of my past employment (current employment, if indicated above that this would not pose any difficulty), education, driving, or criminal history through any investigative agencies or bureaus of its choice. I release all relevant parties from all liability of any damages resulting from furnishing such information.

I understand that an offer of employment and continued employment with the company is contingent upon my furnishing satisfactory proof of my authorization to work in the United States.

If employed by Chem-free, I agree to abide by its rules and regulations. I understand that discovery of misrepresentation or omission of facts herein will make me ineligible for employment or will be cause for immediate dismissal. I agree to furnish additional information as may be required to complete my employee file. I understand that operating conditions may require me to temporarily work shifts other than the one I am applying for and I agree to such scheduling changes as directed by my supervisor.

I also understand that my employment may be subject to completion of the Physical Examination and Mobility Evaluation, which includes a drug and alcohol screening and I understand that my continued employment may be conditioned upon maintaining a favorable health evaluation and drug/alcohol screening. I also agree that all information concerning said physical examination can be release to the authorized agent of this company, upon request.

I understand that this is an application for employment and that no employment contract, either expressed or implied, is being offered. I also understand that if employed, such employment is for an indefinite period and can be terminated at will by either party, with or without notice, at any time for any or no reason, and is subject to change in wages, conditions, benefits, and operating policies.

I have read and agree to the above terms and conditions

Notify In Case of Emergency

Name:

Phone:

Address:

City:

State:

Zip Code:

Please write a statement listing your attributes that will make you a good specialist employee for Chem-free (Please sell yourself): I hereby authorize Chem-free to investigate all facts contained in my application for employment with said company, and authorize the release of any and all information by my present (if indicated on application that this would not pose any difficulty) and past employers, wherever located, which may be required for a reference check. I further authorize all of my previous employers and current employer to give any and all information concerning my employment and any other pertinent information which said employers may have, personal or otherwise, and I release all parties from all liabilities for any damages which may result from the furnishing of said information. Please type your name here as your electronic signature: