Employment Application

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Home
About Us
- Technology
Services
News
Employment
- Application
Contact Us
Request Quote

Application

Please fill out our online application. A representative will contact you in regards to any positions available.

Name

Phone

Street Address

Apartment, suite, etc

City

State

Postal Code

Are you at least 18 years of age?YesNo

If not 18 years of age, please list your age?

Have you ever been employed by this company in the past?YesNo

If you have been employed with us, please list the dates and location

I certify that I am a U.S. Citizen, Permanent Resident, or a Foreign National with authorization to work in the United StatesYesNo

Social Security Number

Important!

You must provide a valid Social Security Card upon being hired by Louisville Pavement Sweep.

Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withhold judgement to a felony?YesNo

If Yes, Please explain

Do you have a valid driver's license?YesNo

Important!

A valid driver's license is required to work for Louisville Pavement Sweep. You must submit a valid driver's license upon completion of application, prior to being hired by Louisville Pavement Sweep.

Driver's License Number

State

A valid Driver's License is required to work for Louisville Pavement Sweep, please explain the reason you chose "No"

Have you had any accidents in the past 3 years?YesNo

If yes, please explain

Have you had any moving violations in the past 3 years?YesNo

If yes, please explain

Company Name

Name of Supervisor

May we contact your employer?YesNo

Supervisor Phone Number

Work Address

City

State/Province

ZIP / Postal Code

Is this your current employer?YesNo

Start Date

End Date

Starting Pay

Ending Pay

Reason For LeavingIf current employer, please put NA (be specific)

List your job duties and responsibilities

Company Name

Name of Supervisor

May we contact your employer?YesNo

Supervisor Phone Number

Work Address

City

State/Province

ZIP / Postal Code

Is this your current employer?YesNo

Start Date

End Date

Starting Pay

Ending Pay

Reason For LeavingIf current employer, please put NA (be specific)

List your job duties and responsibilities

Reference 1Please provide the name, phone number, and relationship of reference

Reference 2Please provide the name, phone number, and relationship of reference

Reference 3Please provide the name, phone number, and relationship of reference

Federal W-4

Please use the provided link to download and fill out the Federal W-4 Tax Withholding Form.

https://www.irs.gov/pub/irs-pdf/fw4.pdf

Important!

A valid driver's license is required to work for Louisville Pavement Sweep. You must submit a valid driver's license upon completion of application, prior to being hired by Louisville Pavement Sweep.

You must also provide a copy of a valid Social Security Card upon being hired by Louisville Pavement Sweep.

I agree that all information is accurate. I agree that Louisville Pavement Sweep may contact previous employers and references based on the answers I have provided. I understand that this application does not mean that I am being hired by Louisville Pavement Sweep, and that based on my qualifications Louisville Pavement Sweep may or may not extend an offer of employment. *I Agree

If you have any questions about our application or would like to request something outside of the scope of this form, please contact us below.

LOUISVILLE

4850 Crittenden Drive
Louisville, KY 40209
Office: 859-533-1415
Email: jim@sweeplouisville.com

LEXINGTON

789 Lochmere Place
Lexington, KY 40509
Office: 859-533-9065
Email: jobs@lpsweep.com

Get A Quote Today!

Request Quote

LEARN ABOUT OUR OTHER SERVICES

Louisville Pavement Sweep also offers day portering, graffiti removal, bulk item haul off and pressure washing

Our Services

POWER SWEEPING PROFESSIONALS

CONTACT US

LOUISVILLE

4850 Crittenden Drive Louisville, KY 40209 Office: 859-533-1415 Email: jim@sweeplouisville.com

LEXINGTON

789 Lochmere Place Lexington, KY 40509 Office: 859-533-9065
Email: info@lpsweep.com

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