Employment Application for Missouri

Note: This application is for MISSOURI jobs only. If you meant to apply for a job in one of the other states we cover, please click here to go back to the page where you can select the correct state.

Whether you need some extra cash for spending money, your kids’ activities, a vacation, or a new car. This is the first step toward your new career. We are always looking to hire new people in our fast growing janitorial service.

Please fill out your information below as completely as possible. If we have a current opening, we will be in touch with you to set up a personal interview. If you don’t hear back from us soon, feel free to give us a call at 918-624-2100. You can also come by our office to fill out a paper application, if you prefer.

    Personal Information

    "*" indicates a required field.

    *Name (First, Middle, and Last)

    *Email

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

    *Cell Phone
    Type

    Other Phone
    Type

    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. Where did you hear about Clempire?

    (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

    Position desired:

    Preferred schedule:

    Potential start date:

    Desired wages:

    Availability

    Mon:   NoneAnyDayEveningOvernight
    Tues:   NoneAnyDayEveningOvernight
    Wed:   NoneAnyDayEveningOvernight
    Thu:   NoneAnyDayEveningOvernight
    Frid:   NoneAnyDayEveningOvernight
    Sat:   NoneAnyDayEveningOvernight
    Sun:   NoneAnyDayEveningOvernight
    Availablility comments:


    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, 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.

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

    Second Employer:

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

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

    List Any Cleaning Experience:

    List any cleaning duties for which you have been trained. (examples: Residential cleaning, Office Cleaning, Cleaning: Carpets, Windows, Floors, Buffing, Strip & Wax, Power Washing, Construction Final Clean, etc.)


    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.

    *Signature:
    *Date:



    After you hit submit you will get a confirmation email showing that it went through. We will look at the applications as they come in and call you for an interview.