Application

Quality Touch Janitorial Service, Inc

Employment Application
Equal Opportunity Employer

EMPLOYMENT IS AT WILL

Have you ever been employed by Quality Touch Janitorial in the past?

Does heat, standing on your feet, or lifting cause any difficulities?

Work History
(Start with present or last job)

Have you ever been convicted of a felony or other serious offense ( other than a minor traffic violation)?

References:
Name 3 Personal References:
(Do Not Include Relatives)

I authorize investigation of all statements contained in the attached application. I understand that misreprsentation or omission of facts is cause for dismissal. Application is active for 60 days.

BACKGROUND CHECK

In addition to rountine past employer reference checks, Quality Touch Janitorial Service, Inc., completes a SLED check as a routine procedure for all employees, at a cost of $25.00 dollars, which will be deducted from your first check. Please complete this form for authorization for Law Enforcement Agencies to release arrest and conviction history record information:

RELEASE

I do hereby authorize any Law Enforcement Agency to release any informarion in their files under the above
name and description. I understand that the information so released may prove unfavorable to me. I release all
persons whomever of any liability arising out of or resulting from the release of this information. I understand
that, should I be hired prior to the completion of this check, my continued employment is pending the results of
this check. A police record is grounds for termination.

I do herby release Quality Touch Janitorial Service, Inc., and its subsidiaries from any claim arising from
whatever information is supplied to them.