CSM America Employment Application

APPLICATION FOR EMPLOYMENT
E-Verify Notification: Federal laws require that employers hire only individuals who are authorized to be lawfully employed in the USA. IN compliance with such laws, CSM America will verify status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicant's identity and employment authorization, and it will be necessary for you to submit such documents are required by law to verify your identification and employment authorization.
CSM America considers all applicants for employment without regard to: Age, Disability, Genetic Information, National Origin, Pregnancy, Religion, Sex, Vietnam Era, Special, Race, or Color in accordance with federal law. In addition, CSM America complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities. CSM America also provides reasonable accommodations to individuals with disabilities in accordance with applicable laws.
Name*

First NameMiddle InitialLast Name
Current Address*

Street Address (PO BOX NOT ACCEPTED)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone Number*

Area CodePhone Number
Alternate Number

Area CodePhone Number
Email Address*
Email Address
Are you 18 or over

YesNo (If under 18, you must provide Employment and/or Age Certification, as required by the State that you reside, in order to be considered for employment.)
Position Desired

Cleaning Professional *No Experience RequiredFloor Care Specialist (Technician) *Experience RequiredSupervisor *Experience RequiredOther
How did you hear about this opening?

Previous/Current Employee of CSM AmericaJob Board (Indeed, Snagajob, etc).Job FairOther
Date You Can Start:

MonthDayYear
Have you ever been employed by CSM America?*

YesNo
Background Information
Are you currently authorized to work for all employers in the USA on a full-time basis or only for your current employer?*

All EmployersCurrent Employer only
Are there any restrictions on the hours you can work, to include overtime if required?*

YesNo
Please explain:
Do you have experience buffing, waxing, honing, scrubbing, and/or stripping floors?

YesNo
Do you have experience working with heavy duty equipment, forklifts, and/or pallet jacks?

YesNo
Have you been convicted of a felony within the last ten (10) years?*

YesNo
Type of crime
Place of occurence
City, State
Court:
Disposition of Case:
Note: Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be judged on its own merit with respect to time and job relatedness.
WORK HISTORY
Current / Most Recent Employer:*
Name of Company
Dates from:*

MonthDayYear
Dates to:*

MonthDayYear
City & State:*
Company Phone Number:

Area CodePhone Number
Job Title & Duties:
Starting Pay: $
Ending Pay: $
Reason for Leaving:*
EDUCATION DATA
Highest Level of Education you have Completed:*
Did you graduate?*

YesNo
List College Degree(s) and Date(s) Attained:
List Other Educational/Special Training and Dates:
CONFIDENTIAL ... EQUAL OPPORTUNITY/AFFIRMATIVE ACTION DATA (Please Read Before Completing). CSM America is an Equal Opportunity/Affirmative Action employer and subject to certain reporting requirements. The information requested below is so that we may meet our Equal Opportunity/Affirmative Action obligations. Your completion of this section of the application is purely voluntary and will not affect your consideration for employment in any way.
Please check the appropriate gender:

MaleFemaleDo not wish to disclose
Please check the appropriate race/ethnic group:

Black/African American (Not of Hispanic Origin)Hispanic/LatinoAmerican Indian/Alaska NativeWhite/CaucasianAsianNative Hawaiian/Other Pacific IslanderTwo/More Races (a person who primary identifies with 2 or more of the above races/ethnicity categories)Do not wish to disclose
Please check the appropriate Veteran Status:

VeteranVietnam Era VeteranDisabled VeteranDo not wish to discolse
JOB APPLICANT AGREEMENT & RELEASE AUTHORIZATION- PLEASE READ CAREFULLY: I understand that Corporate Services Management (CSM America) requires certain information about me to evaluate my qualifications for employment and to conduct its business should I become an employee. I understand that false, incomplete or misleading statements on this application is sufficient cause for my dismissal, if and when discovered. The use of this application or the return of this application to an employee or designee of CSM America does not indicate there are positions presently open and does not in any way obligate CSM America, or is it in itself an offer of employment with CSM America. I authorize CSM America, or its agent(s), to contact former employers, schools and governmental/law enforcement agencies to verify the information given on this application and during the interview process.
Complete Signature of Applicant*

Clear
Date

MonthDayYear
Thank you for applying to CSM America. If you are selected, we contact you with next steps.
Should be Empty:

APPLICATION FOR EMPLOYMENT

Background Information

Note: Conviction of a crime will not necessarily disqualify you for employment. Each conviction will be judged on its own merit with respect to time and job relatedness.