Employment Application Form

Employment Application

All information obtained in this form will be held confidential. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
Application Date*

MonthDayYear
FULL NAME*

First NameLast Name
HOME ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
DAY TIME PHONE*

Area CodePhone Number
EMAIL*
DATE YOU ARE AVAILABLE TO START WORK*

MonthDayYear
What year did you graduate from High School?*
ARE YOU ELIGIBLE TO WORK IN THE USA*

YesNo
DO YOU HAVE YOUR OWN (working) VEHICLE? *This is required for this job*

YesNo
DO YOU SMOKE?*
ARE YOU WILLING TO TAKE A DRUG SCREENING TEST?*

YesNo
DO YOU HAVE ANY MISDEMEANORS OR FELONIES WITHIN THE PAST 15 YEARS? *We require a Criminal Background Check for all employees**

YesNo
IF YES, PLEASE EXPLAIN:
DO YOU HAVE A VALID DRIVERS LICENSE?*

YESNO
This job requires employees to climb stairs, bend, squat, and lift up to 40lbs. Will you be able to meet these requirements?*
HOW MANY HOURS (per week) DO YOU PREFER TO WORK?*

0-1010-2020-3030-4040+
WHAT DAYS ARE YOU MOST INTERESTED IN WORKING?*

WeekdaysWeekendsBoth
WHAT TIMES OF DAY DO YOU PREFER TO WORK?*

MorningsAfternoonsEveningsAny
HOW MUCH PER HOUR DO YOU HOPE TO BE PAID PER HOUR?*
WHAT AREA ARE YOU AVAILABLE TO WORK?*

Houston Innerloop areaPearland and surrounding areasBoth areasAny areas
HOW DID YOU HEAR ABOUT THIS JOB OPENING?*
WHY SHOULD WE HIRE YOU?*
HOW DO YOU FEEL ABOUT RESPECTFUL CONSTRUCTIVE CRITICISM? *
IF WE HIRE YOU, WE WILL CALL YOUR PREVIOUS EMPLOYERS. WHAT DO YOU THINK THEY WILL SAY ABOUT YOU?*
ATTENDANCE IS CRUCIAL IN OUR BUSINESS SO WE ASK YOUR PREVIOUS EMPLOYERS ABOUT THIS. HOW PUNCTUAL HAVE YOU BEEN WITH YOUR PREVIOUS EMPLOYERS? *
What has been the most stressful situation you have ever found yourself in at work? How did you handle it?*
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
EMPLOYER'S NAME (Most current)*
POSITION HELD*
Pay Rate?*
SUPERVISOR'S NAME*
Supervisor's Telephone*

Area CodePhone Number
REASON YOU LEFT*
YOUR JOB RESPONSIBILITIES*
DID YOU GIVE A 2 WEEK NOTICE TO THIS EMPLOYER BEFORE YOU LEFT?*
START DATE*

MonthDayYear
END DATE*

MonthDayYear
May we contact this employer? (please check one)*

YESNO
If NO, reason why not
(2) EMPLOYER'S NAME (If none then put N/A in each section below)*
POSITION HELD*
Pay Rate?*
SUPERVISOR'S NAME*
SUPERVISOR'S NUMBER*

Area CodePhone Number
REASON YOU LEFT:*
YOUR JOB RESPONSIBILITIES:*
DID YOU GIVE A 2 WEEK NOTICE BEFORE YOU LEFT?*
START DATE*

MonthDayYear
END DATE*

MonthDayYear
May we contact this employer? (please check one)*

YESNO
If NO, reason why not
(3) EMPLOYER'S NAME*
Position Held*
Pay Rate?*
Supervisor's Name*
SUPERVISOR'S NUMBER*

Area CodePhone Number
Reason for Departure*
Duties*
Did you give a 2 week notice to this employer?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
May we contact this employer? (please check one)*

YESNO
If NO, reason why not
YOUR CLEANING PROCESS
How would you dust a shelf with picture frames on it?*

Dust the shelf, dust the frames and around the frames.Remove the frames, dust the shelf and line the frames back up.Dust each frame, pick it up, dust under them and place them back as they were.
What is the procedure in general for cleaning any room in a house?*

Work your way in a circle cleaning everything, starting from the top to the bottom, as you go.Clean from bottom to top.Clean the more difficult areas first and the easier areas last.
What qualities do you have that will make you a good professional housekeeper*
Everyone has weaknesses. Name your weakness that you would like to improve? *
Name your strengths as an employee*
Is there anything else that you would like to say on your application?
We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.
Reference (1) Name*
Reference (1) Telephone*

Area CodePhone Number
Reference (2) Name*
Reference (2) Telephone*

Area CodePhone Number
Reference (3) Name*
Reference (3) Telephone*

Area CodePhone Number
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. I hereby release Totally Tidy Maid Service, LLC , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Totally Tidy Maid Service, LLC policies, rules, and procedures. I understand that Totally Tidy Maid Service, LLC reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me.
Type Signature*
Click Here to Upload Your Resume *Preferred but this is optional*

Upload a File

Cancelof
Enter the message as it's shown*
Should be Empty: