Community Outreach Manager Application
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How were you referred to us?
*
Walk-In
Referral
Craigslist
Facebook
Twitter
Instagram
LinkedIn
Other (please specify)
Photo (Optional)
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Choose a file
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of
Cover Letter (Optional)
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Resume
*
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Choose a file
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of
How many years of customer service and/or sales experience do you have?
Are you available for full time or part time role?
Full-Time
Part- TIme
When can you start?
Right now!
Within 30 days
Within 60 days
Do you have a reliable transportation?
Yes
No
Do you have current car insurance?
Yes
No
Do you have a valid driver's license?
Yes
No
Can you work full-time (5 days a week) or part-time ( 3 days a week)?
Full Time
Part Time
If part-time, do you prefer 2 days a week or 3 days a week?
2 Days
3 Days
Are you available to host events between 5pm - 8pm?
Yes
No
Do you have any allergies, asthma, or similar condition which would make it difficult to work with dust and fur?
Yes
No
Do you agree that Cleaners For Seniors may run a background check, drug test, and check your prior employment history.
Yes
No
Last Employment & Reason for Separation
Please indicate the name of your last employer, contact information, job title and description of your duties. Don't worry - We will not call until after the interview.
Prior Employment & Reason for Separation
Please indicate the name of your last employer, contact information, job title and description of your duties. Don't worry - We will not call until after the interview.
Work Reference
Please provide one reference that are familiar with your work life.
Reference
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