Employment Application

Name:

First NameLast Name

Birth Date

MonthDayYear

Phone Number:

Format: (000) 000-0000.

E-mail Address:

example@example.com

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

When can you start?

Other

Do you have any professional house cleaning experience?

Are you legally eligible to work in the United States?

Do you have a valid driver's license?

Do you have reliable transportation with proper insurance?

Can you pass a drug test and background check?

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

How many hours per week would you like to work?

What days are you most interested in working?

What times are you most interested in working?

Job Skills & Training

Describe your applicable experience or skills:

References

Please list two (2) references that are familiar with your work life.

Reference 1

Name:

First NameLast Name

Phone Number

Format: (000) 000-0000.

Years Known:

How do they know you?

Reference 2

Name:

First NameLast Name

Phone Number

Format: (000) 000-0000.

Years Known:

How do they know you?

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.

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