Employment Application (NEW) "*" indicates required fields Step 1 of 20 - Section 1: You, On Paper (Basic Info) 5% LinkedInThis field is for validation purposes and should be left unchanged. Talk is cheap - But we've got to start somewhere. Full Name* First Last Full Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberEmail Address* Preferred Contact Method*We're not big on playing phone tag. What's the easiest way to get ahold of you? Call me - the old-fashioned way. Text me - fastest way to grab my attention. Email works - I'll get to it when the day slows down. Send a flare or carrier pigeon - whatever it takes. I'm ready for this job. Found us*We're glad you found us - how'd we end up on your radar? A friend or coworker told me (they said it's a solid place to work) I saw a job online (Indeed, ZipRecruiter, etc.) Facebook / Social Media Local Flyer / Job Board OtherReferral NameIf someone from the crew sent you our way, give them a shout-out below. Curious About SafariNo sweat - this part's optional. But we'd be interested to know: Ideal Days*What days are you ideally looking to work? Monday Tuesdsay Wednesday Thursday Friday Saturday SundayStart DateYour Preferred Start Date: MM slash DD slash YYYY Ideal Location*Your Ideal Job Location:JohnstownRichlandDavidsvilleSomersetEbensburgNanty GloBlairsvilleWindberPortageSidmanNorthern CambriaCressonGreensburgLatrobeLigonierMurrysvilleYoungwoodMt. PleasantDelmontTransportation*Do you have reliable transportation to get to job sites? Yes Sometimes Not at the moment Schedule*What kind of schedule are you hoping for? LIGHT PART-TIME (5-10 HOURS/WEEK).........Just a few low-stress hours to earn extra money and keep life flexible. MODERATE PART-TIME (10â??18 HOURS/WEEK).........A consistent routine with just a few low-stress hours most nights. STEADY PART-TIME (18â??25 HOURS/WEEK)......... Regular work that still stays under full-timeâ??just the right balance. FULL-TIME (35â??40+ HOURS/WEEK).........Looking for a full-time role, possibly including leadership or supervisor responsibilities. Iâ??m open to all opportunities Just want a good fitâ??happy to discuss any available roles and hours. Sounds Like You*Which one sounds most like you? I like working on my own (Iâ??m a reliable independent cleaner who takes pride in doing things rightâ??even without anyone watching.) I do my best in a team setting (I like working with othersâ??being supported and doing my part to support the team.) Iâ??m comfortable with either (I adapt to the job and stay focused, whether Iâ??m solo or part of a team.) Leadership Role?*How do you feel about a supervisor role (now or later)? Iâ??m interestedâ??leading others and growing sounds like the next step for me Maybe in the futureâ??not now, but Iâ??m open to learning Iâ??d rather focus on being a cleaning professionalâ??I want to master my work without supervising others Desired Wage*Just to get a sense of what youâ??re looking for: Cleaned Before*Have you worked in cleaning before? Yes, I love cleaning! Yes, I've actually worked for Safari in the past! Not exactly, but Iâ??ve done similar work No, but Iâ??m ready to become a Champion of CleaningWorked here beforeWorked at Safari Before? If yes, when? MM slash DD slash YYYY Cleaning ExperienceGot cleaning experience youâ??d like to tell us about? Perform Physical Duties*Can youâ??with or without reasonable accommodationâ??perform the physical duties of the job? (If youâ??re unsure about the jobâ??s physical requirements, feel free to ask before answering.) Yes No Need to Discuss with Interviewer Your Previous Employer 1This is your chance to brag a little. Tell us about the work you’ve done before—every skill and every role helps us understand the strengths you’ll bring to Safari. Company Name*City/State*Start Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Job Title*Reason For LeavingType Of Work*ResumeAttach ResumeMax. file size: 1 GB. Previous Employers*Have more skills you want to highlight? Add additional employers below.Select Number12NONEYour Previous Employer 2Company NameCity/StateStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job TitleReason for LeavingType Of WorkYour Previous Employer 3Company NameCity/StateStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Job TitleReason for LeavingType Of Work EducationYouâ??ve already invested in yourselfâ??through school, military service, or on-the-job training, let us know what education has shaped you. Share it here so we can celebrate what you bring to the team. Reference NamePeople who believe in you matterâ??if there is someone whoâ??s seen your work ethic shine, weâ??d appreciate a reference.Reference Phone NumberHow Do you know them? Our Values*Would it be unfair to expect these values from someone who wants to be part of our team? No, that sounds like a great fit for me I'd like to grow into that I'm not sure yet Age*Are you 18 or older? Yes NoGender* Male Female Other Prefer not to sayAuthorized In US*Are you authorized to work in the U.S.? Yes NoEthnicity*Select OneOtherWhite / CaucasianBlack / African AmericanHispanic / LatinoAsianNative/ Hawaiian / Pacific IslanderNative American / Alaskan NativeTwo Or More RacesPrefer Not To SayThis field is hidden when viewing the formAffirmative Action Data RecordPlease note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION. Employees are treated during employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply. The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Data Record is optional. If you choose to volunteer the requested information please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or Personnel file. Signature of Applicant*Please enter your full name to electronically sign this application.Date* MM slash DD slash YYYY Date Of Birth*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920(for background check only)This field is hidden when viewing the formAge CalculatedYour privacy matters. All background information is handled securely and confidentially.
