ServiceMaster Application For Employment General Information Name: Invalid Input Date: Invalid Input Email: Invalid Input Phone: Invalid Input Address Street Invalid Input City: Invalid Input State: MaineInvalid Input * Maine Residents Only Zip Code: Invalid Input Do you currently work with an employment agency? Invalid Input Work Experience (Please start with your present or most recent position) Position One Company Name:* Invalid Input Address* Invalid Input Business Type:* Invalid Input Starting Date:* Invalid Input Ending Date:* Invalid Input Job Title:* Invalid Input Salary or Salary Range* Invalid Input Nature of Work* Invalid Input Supervisory Responsibility* Invalid Input Immediate Supervisor* Invalid Input What do (did) you like most about your job?* Invalid Input What do (did) you least enjoy about your job?* Invalid Input If you have left this job, list the reason for leaving: Invalid Input Position Two Company Name: Invalid Input Address Invalid Input Business Type: Invalid Input Starting Date: Invalid Input Ending Date: Invalid Input Job Title: Invalid Input Salary or Salary Range Invalid Input Nature of Work Invalid Input Supervisory Responsibility Invalid Input Immediate Supervisor Invalid Input What do (did) you like most about your job? Invalid Input What do (did) you least enjoy about your job? Invalid Input If you have left this job, list the reason for leaving: Invalid Input Other Positions Held Position Three Company Name: Invalid Input City: Invalid Input Nature of Work Invalid Input Immediate Supervisor Invalid Input Starting Date: Invalid Input Ending Date: Invalid Input Beginning Salary: Invalid Input Ending Salary: Invalid Input If you have left this job, list the reason for leaving: Invalid Input Position Four Company Name: Invalid Input City: Invalid Input Nature of Work Invalid Input Immediate Supervisor Invalid Input Starting Date: Invalid Input Ending Date: Invalid Input Beginning Salary: Invalid Input Ending Salary: Invalid Input If you have left this job, list the reason for leaving: Invalid Input Position Five Company Name: Invalid Input City: Invalid Input Nature of Work Invalid Input Immediate Supervisor Invalid Input Starting Date: Invalid Input Ending Date: Invalid Input Beginning Salary: Invalid Input Ending Salary: Invalid Input If you have left this job, list the reason for leaving: Invalid Input Indicate by number (if any) which of the above employers you do not wish to be contacted: Invalid Input Military Service Identify type of military service (if any) in the Armed Forces of the U.S.: Invalid Input Education Indicate the Highest Grade completed Elementary: Elementary678noneInvalid Input High School: 1234noneInvalid Input College: 12345678noneInvalid Input List high school subjects/experience/activities that you feel would qualify you for employment: Invalid Input Class and other offices held: Invalid Input College(s) Attended Invalid Input Major Fields: Invalid Input Degree(s) Obtained: Invalid Input Year(s) Degree Obtained: Invalid Input Extracurricular activities: Invalid Input Physical Data Condition of Health Invalid Input {handicaps:caption} {handicaps:body}{handicaps:validation} {handicaps:description} Activites do not include racial, religious, or nationality groups List membership in trade or service organizations Invalid Input List hobbies or interests Invalid Input Objectives What are your qualifications for a more responsible position? Invalid Input What are your plans for the future? Invalid Input Background Information (Some positions require a Criminal Background and/or Driving Record Check) Have you ever been convicted of a criminal offense (Felony or Misdemeanor)? YesNoInvalid Input If yes, please explain: Invalid Input In the last 5 years, have you been involved in an accident or convicted of a traffic offense? YesNoInvalid Input If yes, please explain: Invalid Input I hereby consent to undergo a physical examination by a physician appointed by The Company, at Company expense, should such an examination be requrested. YesNoInvalid Input Invalid Input