[PDF to Form] TLL Employment Application

The Laundry Lady

Employment Application
Date

MonthDayYear
Date
Full Name
Phone Number
Email Address
Current Address (House Number, Street Name, and City)
Are you eligible to work in the United States?

YesNo
Position Applied For (i.e. Laundress, Driver)
Date Available to Start

MonthDayYear
Desired Employment Type

Almost Full-TimePart-TimeTemporary
Preferred DaysHours
Employment History (Begin with most recent)
Employer Name
Job Title
From
To
Reason for Leaving
May we contact this employer

YesNo
Employer Name
Job Title
From
To
Reason for Leaving
May we contact this employer

YesNo
References (Professional Only Please)
Name
Relationship
Phone or Email
Name
Relationship
Phone or Email
Please list any skills certifications or experiences that may be relevant
Do you consent to a background check?

YesNo
Signature certifies that all information provided is accurate and complete. I understand that providing false information may result in rejection of this application or termination of employment.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Employment History (Begin with most recent)