Please list two references other than relatives or previous employers.
Please list your work experience for the past three years beginning with your most recent job held. If you were self-employed, give firm name.

In exchange for the consideration of my job application by Cleanest By Farr: I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company will run a full criminal background check and may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.

All applicants selected for final consideration for a job with Cleanest by Farr will be required to pass a pre-employment drug screen and Motor Vehicle Report as a condition of employment. DRUG SCREENING I agree to provide a specimen of my urine and give permission to Cleanest by Farr and the laboratory it has selected to conduct a urinalysis required for drug screening. I understand if the drug screen results are positive, a confirming test will be taken using the same specimen. I consent to the release of the test results to Cleanest by Farr. I understand I will not be considered for current position openings if I refuse to sign this authorization, if I refuse to participate in the drug screen, or if I test positive for controlled substances. If I test positive for a controlled substance, I will not be able to reapply for any position within Cleanest by Farr for six (6) months. MOTOR VEHICLE REPORT (MVR) I give permission to Cleanest by Farr to examine my MVR prior to the start of employment. I understand that driving records will be reviewed for both to drivers of company-owned vehicles as well as employees using personal vehicles in the course of company business. I further understand that any job offer made requiring driving duties as well as continued employment shall be contingent upon an MVR meeting the required standards. No new driver will be hired with a “borderline” or “poor” MVR, which may include: Three (3) or more Minor Violations and/or Two (2) or more at-fault accidents over the last three years. One or more Major violation in the past three years: Driving under the influence of alcohol/drugs; failure to stop/report an accident; reckless/dangerous driving; racing; driving while impaired; Driving while license is suspended/revoked; homicide, manslaughter or assault resulting from the operation of a vehicle; attempting to elude a police officer. I will be required to provide a copy of my driver’s license if I am selected for final consideration for a job with Cleanest by Farr. I have read and understand this form.

APPLICANT'S STATEMENT Please read carefully and check each paragraph below. A search of public records (including records documenting an arrest, indictment, conviction, civil judicial action, tax lien or outstanding judgment) be conducted by internal personnel employed by Cleanest by Farr, I am entitled to copies of any such public records obtained by Cleanest by Farr unless I mark the check box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even though I have checked the box below.
Typing your name (below) and submitting this form act as your digital signature.