Renivan Facility Services

Employment Application

Thank you for your interest in joining Renivan Facility Services LLC.
Please complete the application below as accurately and completely as possible.
We appreciate your time and interest in joining our team.

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Please allow approximately 15–20 minutes to complete this application.

Before you begin, we recommend having your employment history, professional references, and resume available.

Applicant Information

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Are You Legally Authorized To Work In The United States? *

Yes

No

If Hired, Can You Provide Documentation Verifying Your Identity and Employment Eligibility? *

Yes

No

Are You Under 18 Years Old? *

Yes

No

Emergency Contacts

Emergency Contact #1 First Name *

Emergency Contact #1 Last Name *

Emergency Contact #1 Relationship *

Emergency Contact #1 Phone Number *

Emergency Contact #1 Email

Emergency Contact #2 First Name *

Emergency Contact #2 Last Name *

Emergency Contact #2 Relationship *

Emergency Contact #2 Phone Number *

Emergency Contact #2 Email

Employment Preferences

Employment Type

Available Start Date *

Reliable Transportation *

Yes

No

Position & Shift Preferences

Types of Cleaning Work Interested In

Preferred Work Schedule

Weekly Availability

Please provide your general availability for each day of the week.
Include approximate times you are available to work.

Sunday Availability *

Monday Availability *

Tuesday Availability *

Wednesday Availability *

Thursday Availability *

Friday Availability *

Saturday Availability *

Additional Scheduling Notes

Additional Information

How Did You Hear About Renivan? *

Tell Us More About How You Heard About Renivan

Why Are You Interested In Working With Renivan? *

Experience & Qualifications

Cleaning Experience Summary

Commercial Cleaning Experience

Yes

No

Residential Cleaning Experience

Yes

No

Floor Care Experience

Yes

No

Childcare/School Cleaning Experience

Yes

No

Medical/Wellness Cleaning Experience

Yes

No

Facility Experience Types

Equipment Experience

Comfortable Working Independently *

Yes

No

Able To Lift Cleaning Equipment/Supplies *

Yes

No

Eduation & Skills

Highest Level of Education Completed *

If You Selected "Other," Please Describe

Languages Spoken *

Please List Any Additional Languages

Languages Read *

Able To Read And Follow Written Work Instructions and Safety Information

Yes

No

Comfortable Using A Smartphone For Work Communication

Yes

No

Additional Skills, Certifications, or Languages

Employment History

Current or Most Recent Employer

Employer Name

Position/Role

Employment Start Date

Employment End Date

Reason For Leaving

Supervisor Name

Supervisor Phone Number

May We Contact This Employer?

Yes

No

Previous Employer

Employer Name

Position/Role

Employment Start Date

Employment End Date

Reason For Leaving

Supervisor Name

Supervisor Phone Number

May We Contact This Employer?

Yes

No

Additional Employer

Employer Name

Position/Role

Employment Start Date

Employment End Date

Reason For Leaving

Supervisor Name

Supervisor Phone Number

May We Contact This Employer?

Yes

No

References

Please provide two references who can speak about your reliability,

work ethic, character, or job performance.

Reference #1 First Name *

Reference #1 Last Name *

Reference #1 Relationship *

Reference #1 Phone Number *

Reference #1 Email Address *

Reference #2 First Name *

Reference #2 Last Name *

Reference #2 Relationship *

Reference #2 Phone Number *

Reference #2 Email Address *

Uploads

Resume Upload

PDF, DOCX or DOC

Government-Issued Photo ID Upload *

PDF, PNG, JPEG or JPG

Examples: Driver's License, State Identification Card, or Passport.

Government-issued photo identification is required for identity

verification and employment eligibility verification.

Certification Upload

PDF, PNG, JPEG or JPG ( max 10 Files )

Additional Supporting Documents

PDF, PNG, JPEG or JPG ( max 20 Files )

Acknowledgment & Signature

Are You Willing To Undergo A Background Check If Required? *

Yes

No

Application Certification *

I certify that the information provided in this application is accurate and complete to the best of my knowledge. I understand that false or misleading information may affect employment consideration or continued employment. I understand that Renivan Facility Services may conduct reference checks, employment verification, and background screening where permitted by law. I also understand that employment decisions may consider suitability for assignments involving client property, keys, secure areas, private homes, schools, healthcare/wellness spaces, and after-hours access.

Applicant Signature *

Clear

Please sign ll

We appreciate your interest in joining the Renivan team.