Providing cleaning and janitorial services in Springfield, Ohio and surrounding areas.

Springfield Pro Cleaning Services Employment Application

First Name:     Last Name: 

Address:     City: 

State:     Zip Code: 

Home Phone:     Cell Phone: 

Email Address: 
  • If hired, can you provide proof that you are legally able to work in the United States? Yes  No 
  • How were you referred to us?
    Advertisement Referral Employment Agency Walk-In Other
  • Have you ever been convicted of a criminal offense (felony or misdemeanor)? Note: An affirmative answer will not necessarily result in disqualification for employment:

     Yes  No 

    If yes, please state nature of offense(s), date(s), city, state, and disposition of the offense:

  • List any relatives or friends employed by Springfield Pro Cleaining Services:

  • Position Desired: 
  • What days and hours are you available for work? 
  • Are you available to work overtime if necessary? Yes  No 
  • Are you over 18 years of age? Yes  No 
    If you are under 18 years of age, can you provide a work permit? Yes  No 
  • When are you available to begin work? 
  • Are you able to perform the essential functions of the job for which you are applying? Note: We comply with the Americans with Disabilities Act and will consider reasonable accommodation measures that may be necessary for eligible applicants to perform essential functions: Yes  No 
  • What knowledge, special skills and/or individual capabilities do you have which especially prepare you for the position applied for?

Please list your previous employers beginning with the most recent:

  • Company Name: 
  • Company Address: 
  • Dates Employed: From:  To: 
  • Company Phone Number: 
  • Specific Job Duties:

  • Company Name: 
  • Company Address: 
  • Dates Employed: From:  To: 
  • Company Phone Number: 
  • Specific Job Duties:

  • Company Name: 
  • Company Address: 
  • Dates Employed: From:  To: 
  • Company Phone Number: 
  • Specific Job Duties: