Cleaning Job Application Form

  • We Need Cleaning and Maintenance Professionals!

    All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
  • Application Date*
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  • Date of Birth
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  • Date You Are Available to To Work*
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  • Are You Legally Eligible to Work in the U.S.? *
  • Are you willing to take a drug test? *
  • Do you have a valid driver's license?*
  • Do you have a reliable transportation?*
  • How Many Hours Do You Want to Work Per Week?*
  • What Days Are You Most Interested in Working? *
  • What Times of Day Are You Most Interested In Working?*
  • What days are you available to work?*

  • WORK HISTORY / EXPERIENCE

    Please list your 2 most current work history/experience
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  • Start Date*
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  • End Date*
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  • May we contact this employer? (please check one)*
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  • Start Date
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  • End Date
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  • May we contact this employer? (please check one)

  • We DO NOT consider OR interview anyone who cannot provide2 references (work, education or church related). NO FAMILY MEMBERS.

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  • False information will cause removal from our registry.

    I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if this company at anytime learns of falsification or material omission in the information provided on this application form and related documents. You may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them.
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