Please fill the below form and we will get back to you as soon as possible.

We want to know (in 1000 characters or less):
  • Where you worked.
  • How long you worked there.
  • Job title and responsibilities.
  • Supervisor name and contact details.
  • Reason for leaving.
  • Can we contact this employer? Y/N

Almost Done!

I understand that all of the above information is true and that falsification of any information on this application is grounds for termination. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Clean Affinity, Inc. to hire me. If I am hired, I understand that either Clean Affinity, Inc. or I can terminate my employment at any time for any reason, with or without cause and without prior notice. I understand that no representative of Clean Affinity, Inc. has the authority to make any assurance to the contrary.

I authorize Clean Affinity, Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. I also agree that as a condition of employment I will be subject to pre-employment screening including drug and alcohol screening, credit screening, criminal and background screening, and my employment is subject to these requirements.

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