DeLuxe Cleaning and Organizing, LLC

Personal Information
Full Name*

First NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
Phone*

Area CodePhone Number
Email Address*
example@example.com
Experience
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What is your availability?*

Weekdays - Day timeWeekdays - Evenings/NightsWeekendsOther
How did you hear about us?*
License Information

Please email a picture of front and back of license to careers@thedeluxeclean.com
Do you have a Valid Driver's License*

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License/ID Number
False information will cause termination of employment.

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. I agree that I will follow all Deluxe Cleaning and Organizing, LLC policies, rules, and procedures. I understand that Deluxe Cleaning and Organizing, LLC reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
Do you understand and agree to the above statement?*

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