Prospective Maid Application

Prospective Maid Application
An Equal Opportunity Employer MaidPro encourages applications from all people regardless of race, color, religion, sex, sexual preference, age, national origin, handicap, and marital or parental status. We are an equal opportunity employer committed to hiring qualified candidates. MaidPro recognizes the right of all disabled applicants to request reasonable accommodations necessary to enable the accomplishment of any job. It is unlawful to request or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. The age discrimination in the Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.
Name*
Social Security*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone*
Emergency Contact Name*
Phone*
Are you legally able to be employed in the US?*

YesNo
Do you have your own transportation?*

YesNo
How did you hear about this job
Total Hours Per Week*
Days Available*

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Company Name
Phone
Start Date

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Date
End Date

MonthDayYear
Date
Description
Company Name
Phone
Start Date

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Date
End Date

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Date
Description
List Your Personal References:

(Name, Relationship, Phone #, Known How Long)
1
2
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4
I authorize an investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without previous notice.
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Date

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