Cleaning Housekeeping Service Job Application Form

  • BASIC INFORMATION

  • Application Date*
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  • EMPLOYMENT ELIGIBILITY

  • Where you referred by anyone employed or served by Houses 2 Homes?*
  • Date You Are Available to To Work*
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  • Are You Legally Eligible to Work in the U.S.? *
  • Are you willing to take a drug test? *
  • Are you currently collecting unemployment benefits? (used to answer for gaps in work history)*
  • Do you have a valid driver's license?*
  • Do you have a reliable form of transportation?*
  • What is your reliable form of transportation?*

  • How Many Hours Do You Want to Work Per Week?*
  • What days are you available to work?
  • Do you have specific time you will be unavailable for work?*

  • WORK HISTORY / EXPERIENCE

    Please list your 3 most current work history/experience
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  • Start Date*
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  • End Date*
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  • May we contact this employer? (please check one)*
  • Do you have any additional work history you'd like to add? (more history will be viewed more positively than less)*
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  • Start Date*
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  • End Date*
     - -
  • May we contact this employer? (please check one)*
  • Do you have any additional work history you'd like to add? (more history will be viewed more positively than less)
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  • Start Date*
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  • End Date*
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  • May we contact this employer? (please check one)*

  • IDENTIFYING YOUR CLEANING PROCESS

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  • How would you dust a shelf with many knicknacks on it?*

  • What is the procedure in general for cleaning any room in a house?*
  • What would you do if there was a $20 bill laying on a table with no note?*
  • How do you dust a picture on the wall that has no glass? *
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  • References

  • We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.

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  • False information will cause removal from consideration.

    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 Houses 2 Homes® , 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 Houses 2 Homes® policies, rules, and procedures. I understand that Houses 2 Homes® 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.
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  • Section Points Possible Actual
    Employment Eligibility 790 {employmentEligibility}
    Work History/Experience 205 {workHistoryexperience}
    Cleaning Knowledge 330 {cleaningKnowledge}
    Total 1325 {qualityScore}
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