Employment Application

Please fill out your information below, and we will be in touch with you. Keep in mind that we perform at least 2 interviews before making a decision. After you submit your application give us some time to process it, and we might get with you for an interview. Feel free to give us call at 918-624-2100, if you have any questions at any time.

We care about who works here. If you don’t like to clean, it would be best if you click on the “X” in the top right of your browser. That’s what we do here. Clempire Janitorial values and protects our team. This application helps us get to know who you are.

We ask some CRAZY questions for an application, because we want to get to know you. We can’t get personality from just name, address, and phone number. Thanks for helping us out.



    Personal Information:

    Asterisk (*) indicates a required field.

    *Name (First, Middle, and Last)


    *Mailing Address (include City, State, & Zip)

    *Cell Phone

    Other Phone

    * Are you legal to work in the U.S.? YesNo

    * Have you been convicted of a felony? YesNo

    If yes, please explain:

    Please include any and all dates and charges. Clempire LLC does not automatically exclude applicants based on upon criminal history without first reviewing the details. Failure to fully and accurately answer may result in elimination from consideration or termination from employment, if discovered later.

    * Can you pass a drug test? YesNo

    Social Security Number:

    Date of Birth:

    * Do you have a valid driver's license? YesNo
    Driver's license number:
    State Issued:

    Getting to know you more...

    This section will help us get to know you better, because we care about who is on our team!

    1. How did you hear about Clempire Janitorial?

    (0 of 200 characters)

    2. Describe the perfect day off:

    (0 of 200 characters)

    3. How would you describe your living room and/or bedroom?

    (0 of 200 characters)

    4. If you had a boat, what would you name it?

    (0 of 200 characters)

    5. What’s the first thing that comes to mind when I say, “cleaning”?

    (0 of 200 characters)

    6. Describe your personality:

    (0 of 200 characters)

    7. What’s the last book you read? Describe it:

    (0 of 200 characters)

    8. What are you talented at?

    (0 of 200 characters)

    9. What are your family (or friends) like?

    (0 of 200 characters)

    10. Why do you want to work here?

    (0 of 200 characters)

    Employment Desired

    Which area: TulsaOKCPryor/ClaremoreMuskogee

    Position desired:

    Preferred schedule:

    Potential start date:

    Desired wages:


    Mon :   NoneAnyDayEveningOvernight
    Tues :   NoneAnyDayEveningOvernight
    Wed :   NoneAnyDayEveningOvernight
    Thu :   NoneAnyDayEveningOvernight
    Fri :   NoneAnyDayEveningOvernight
    Sat :   NoneAnyDayEveningOvernight
    Sun :   NoneAnyDayEveningOvernight
    Any other availability comments or reasons you are unavailable certain times:

    Education or Military Service

    Name and Location of High School:

    * Did you graduate? YesNo

    * Have you served in the military? YesNo
    If so, please list the branch, your rank, and type of discharge:

    List any colleges, courses, training, languages spoken, or certificates:

    (0 of 200 characters)

    Employment History:

    * Current/Previous Employer:

    Are you currently employed? YesNo
    May we contact your current employer? YesNoN/A

    Company, Address, Supervisor's Name, and Phone.

    Reason for leaving:
    Date Started (Month & year):
    Date Left (Month & year):

    Second Employer:

    Company, Address, Supervisor's Name, and Phone.

    Reason for leaving:
    Date Started (Month & year):
    Date Left (Month & year):

    List Any Cleaning Experience:

    List any cleaning experience you may have, although not required. We have a training program everyone goes through.

    Personal References

    *Reference #1 (Name, address, and phone):

    How do you know this person?
    Number of years known:

    *Reference #2 (Name, address, and phone):

    How do you know this person?
    Number of years known:

    *Reference #3 (Name, address, and phone):

    How do you know this person?
    Number of years known:

    Additional Information

    Without using the words "hard-working" or "dependable", what separates you from everyone else? Also, include any other comments that you feel we need to know to be able to better evaluate your application.

    (0 of 200 characters)

    Employment Application Authorization

    By typing my name below as an electronic signature I certify that I am the person that is stated on this employment application, and that the facts contained in this employment application are true and complete to the best of my knowledge; I also certify I understand that, if employed, falsified statements on this employment application shall be grounds for immediate dismissal.
    I authorize investigation of all statements contained herein, and I explicitly authorize the references and employers listed above to release to you any and all information concerning my employment, and any pertinent information they may have, personal or otherwise, and release the company and individuals from all liability for any damage that may result from utilization of such information.
    This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA), by HIPAA, and other relevant federal and state laws.


    After you hit submit you will receive a confirmation page as well as a copy of this application in your email, so please verify that all your information is correct before submitting.

    Fill out the employment application today.

    Stop by our office. We’d love to meet you.

    Thanks for taking the first step toward your new career. We are always looking to hire new people in our fast growing janitorial service. We are a family owned and operated business and an equal opportunity employer. If you do not hear back from us soon after filling out your employment application, please give us call at 918-624-2100.

    After submitting your employment application, check out this Weekly Living article about why it’s important to keep up with office cleaning in Tulsa.