Employment Application

Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How were you referred to us?*

Walk-InEmployeeNewspaper AdFacebookTwitterCraigslistGoogleOtherYelp
When can you start?*

Right away!Within 2 weeksLonger than 2 weeks from now
Do you have any professional house cleaning experience?*

YesNo
Do you have any professional Airbnb cleaning experience?*

YesNo
Do you have any commercial cleaning experience in an office enviorment?*

YesNo
Are you legally eligible to work in the United States?*

YesNo
Do you have a valid driver's license?*

YesNo
Do you have reliable transportation with proper insurance?*

YesNo
Can you pass a drug test and background check?*

YesNo
Are you able to preform the tasks associated with cleaning houses, apartments, or office building including, but not limited to: standing for 8 hours, walking up and down stairs, bending, kneeling, and lifting 50 pounds?*

YesNo
How many hours per week would you like to work?*

0-1011-2021-3031-4040+
What days are you most interested in working?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What times are you most interested in working?*

MorningsAfternoonsEvenings
Job Skills & Training
Describe your applicable experience or skills:
Training or Certifications:
References

Please list at least one (1) reference that is familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
How do they know you?*
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
How do they know you?
My family and friends would describe me as:*

Loyal, friendly, helpful, calm, reassuringSocial, open, positive, adventurous, goofyGoal-oriented, strong, direct, enjoys challengeOrganized, analytical, orderly
Things I appreciate the most are:*

GiftsQuality time with my familyWords of appreciationHugs
What would make this job the best job ever for you?
Do you agree that the employment with Peach State Preservation is "at will" and does not guarantee any specific time period?*

YesNo
Do you understand that any misrepresentation, omission, or falsification on this application will be grounds for immediate termination?*

YesNo
Do you understand that we may photograph or video you for our use on our social media pages, website, or other media outlets? We are very active online and photos of our great team help show our customers who they are hiring.*

YesNo
Should be Empty: