Job Application

Duraclean is a Drug-Free Workplace
Duraclean Systems of North Augusta, Inc.
847-A Edgefield Rd., North Augusta, SC 29841 Phone 803.279.8842
Submit by email at the end of the application or print and bring by our office at 847-A Edgefield Rd., Northa Augusta, SC 29841
Name

Last

First

Middle
Date
/
Month
/
Day

Year
Present Address

Number

Street

City

State

Zip
 
() -  
Best phone number to be reached at
Position Applying For:
Desired Salary/Hourly Wage
$
How many hours can you work weekly?
# HOURS
Can you work nights and weekends if necessary?
Yes  No 
Employment Desired
Full Time 
Part Time 
Full or part Time 
Date you will be able to start?
/ /
Do you have a valid driver's license?   Yes    No    If yes, what state? State: 
Have you recevied any traffic violations in the past 3 years?   Yes    No    If yes, list type of offenses and dates:
Education and other information
Type of School Name of School Location of School Year Completed Graduated
High School Yes  No 
College Yes  No 
Business or Trade Yes  No 
Other Yes  No 
Have you ever been convicted of a crime?
Yes    No 
If yes, type(s) of offense and date(s):  
Have you been convicted of DUI or other misdemeanor?
Yes    No    If yes, describe the circumstances:
Date, location, charges and disposition?
Are any charges now pending against you by a Federal, State or other law enforcement authorities for any violations of Federal law, state law, county or municipal law, regulation or ordinance?   If yes, describe the circumstances: (date, location, charges):
Note: Provide a copy of a background check and driving record upon submitting application
Background Check:   Driving Record:  
REFERENCES: Please list three references who are not relatives
Name
Phone Number
Name
Phone Number
Name
Phone Number
WORK EXPERIENCE
Please list your work experience for the past 5 years beginning with your most
recent job held. If you were self-employed, give the company/business name.
Name of Employer/Company
Location
Employment dates
From  /
to  /
Last hourly wage
$/hour
Type of work done
Reason for leaving
Name of Employer/Company
Location
Employment dates
From  /
to  /
Last hourly wage
$/hour
Type of work done
Reason for leaving
Name of Employer/Company
Location
Employment dates
From  /
to  /
Last hourly wage
$/hour
Type of work done
Reason for leaving
May we contact your previous employer?
Yes  No 
What skills have you learned that may be related to the type of work you may be doing at Duraclean?
For Office Jobs Only
Word processing:   Yes  No    If yes, WPM?  
Software Programs:   MS Word   MS Excel   Other software programs:  
Social media proficiency:   Twitter  Facebook   List:  
What other office skills do you have that may benefit Duraclean?
For Office Use Only
Thank you for taking the time to fill out this application. You may email your completed application to us at duracleancsra@gmail.com , mail it to us at 847-A Edgefield Road, North Augusta, SC 29841 or come by and hand deliver it to our office at the above address. We will review and file your application and you will be notified for an interview if a position is open that fits your background experience and skills. You may call us if you have questions: 803.279.8842