Maid Pure Employment Application

MP Employment Application Form:
Employment Desired:
Position Applying For *
Shift Applying For *
Date You Can Start *

Month Day Year
Salary Desired *
Personal Information:
Full Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
What do you identify as? *

Female Male Prefer Not To Say
Education:
High School / GED Program *
Name of High School/GED Program Attended
College or University / Area of Study
Name of Technical/College/University Attended & Area of Study
Graduated? *

Yes No
Skills/Qualifications:
Skills & Qualifications
List any relevant skills
Current Employment:
Current Employer
Name of Current Employer or NONE if not Employed
Start Date

Month Day Year
End Date

Month Day Year
Position
Salary
Reason for Leaving?
May We Contact?

Yes No
References:

Must be at least one (1) Professional acquaintance.
Reference 1 *
Name of Reference
Relationship
Years Acquainted
Phone *
Email
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone *
Email
Questionaire:

Please provide a Yes or No answer.
Are You a U.S. Citizen and/or legally able to work in the U.S.? *

Yes No
Do you speak a language other than English? If Yes, please select 'Other' and specify. *

Yes No
Have you ever been convicted of a felony? If Yes, please select 'Other' and specify. *

Yes No
Do you have a valid drivers license? *

Yes No
Do you have a reliable means of transportation? *

Yes No
How did you hear about this position?

Social Media Website Maid Pure Employee Radio Newspaper
Resume & Cover Letter:

Must submit a resume.
Cover Letter (Optional)
Resume *
Send Application:
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.
Should be Empty:

MP Employment Application Form:

Employment Desired:

Personal Information:

Education:

Skills/Qualifications:

Current Employment:

References:

Questionaire:

Resume & Cover Letter:

Send Application: