Personal Information

Drug testing might be a requirement for employment.

Criminal history checks are performed on all potential hires. The existence of a conviction record does not constitute an automatic bar to employment. Your record will be considered only as it may relate to the job for which you are applying.



Years Attended

Did you Graduate?

High School

Trade or College Name

Other education

Are there any experiences, skills or qualifications, which you feel would especially fit you for work at ServiceMaster?


List below last three employers, starting with the last one first

Employer 1

Dates Employed(month and year))

Employer 2

Dates Employed(month and year)

Employer 3

Dates Employed(month and year)

I understand that if I am offered employment, no contractual relationship will thereby be created.  Employment will be 'at will' and shall be terminable 'at will' by the employer or employee with or without cause.  Any oral statements or promises to the contrary are not binding upon the employer.  Should such a statement be made, please confirm it with the owners.  Employer shall not be responsible for such statements that are not confirmed by the owners in writing.

I certify the answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I release and hold harmless my prospective employer and any former employers, educators, and other listed references from any liability associated with providing information.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all policies, rules and regulations of the Company.


your digital signature*

Voluntary Self-Identification Form

To All Applicants


J & K of La Crosse, Inc. has adopted a Diversity Initiative with regard to employment opportunities for qualified individuals. Please assist us in implementing this initiative by providing the information requested below.

Providing this information is voluntary and providing or refusing to provide it will not subject you to any adverse treatment. The information you provide will only be used for equal employment/affirmative action record-keeping and reporting required by law. The information you provide is also confidential.

No thank you, please submit my application without the Self Identification Form.

If yes, please provide the following information:


Thank you for your cooperation.

Federal Government Definitions

White (not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (not Hispanic or Latino): A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Native Hawaiian or other Pacific Islander (not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.

Asian (not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

American Indian or Alaska Native (not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or more races (not Hispanic or Latino): A person who identifies with more than one of the above six races.

Take it from Our Clients

Outstanding Cleaning Services
Thank you for the outstanding cleaning services provided by ServiceMaster. From our daily cleaning routine to scheduled carpet/upholstery shampooing, your people do an excellent job. I really appreciate how responsive you have been to any request I’ve made or when we need a quick “touch-up carpet shampoo” because of a spill… it’s so convenient to take care of this before a stain sets in! We take great pride in providing our clients and employees with a clean and professional looking environment. You’ve provided great customer service over the years, so please keep up the good work!
Joanie Ulrich
Grant Thornton LLP