Please read carefully. Every item on this form must be answered to the best of your
ability.Your qualifications will be carefully reviewed and you will be given thorough
consideration for the position(s) for which you have applied. Upon employment, this
application will become part of your permanent record at Midwest Janitorial Service, Inc.
Keep this in mind as you complete it.
SPECIAL NOTE: Midwest Janitorial Service, Inc. is an Equal Opportunity / Affirmative Action employer and does not discriminate against any applicant or employee because of race, color, religion, age, sex, national origin or ancestry, familial status, marital status, disability, creed, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic or perceived protected classes protected by federal, state or local laws. Applicants with disabilities may be entitled to a reasonable accommodation under the Americans with Disabilities Act and certain state and local laws. A reasonable accommodation is a change in the way things are normally done which will ensure equal employment opportunity without imposing undue hardship on Midwest Janitorial Service, Inc. Please inform the Human Resources department if you need assistance completing this application, or to otherwise participate in the application process. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. You are not required to supply any information that is prohibited by federal, state, or local law. Date of birth is requested for identification purposes only and will not be used for discriminatory purposes.
Affirmative Action Notice: Vendors and subcontractors are notified they may be subject to the provisions of: 41 CFR Section 60-300.5(a); 41 CFR Section 60-741.5(a); 41 CFR Section 60-1.4(a) and (c); 41 CFR Section 60-1.7(a); 48 CFR Section 52.222-54(e); and 29 CFR Part 471, Appendix A to Subpart A with respect to affirmative action program and posting requirements.
This contractor and subcontractor shall abide by the requirements of 41 CFR §§ 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of Protected Veteran status or disability, and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified Protected Veterans and Individuals with Disabilities.