Cleaning Jobs | House Cleaning Jobs | Employment Application

Personal

First Name:

Last Name:

Current Street Address:

City:

State:

Phone Number:

How long at this address?

ZIP Code

Work Experience

Are you presently employed?

yes
no

Which of the following categories of jobs have you had?Please check each job category that you've worked at:

House Cleaning

Manufacturing

Fast Food

Restaurant

Hotel/Motel

Sales

Janitorial

Service

Clerical

Other (*explain) :

Please list below your last three employers, starting with your present or last place of employment. When responding to Dates Employed use the format mm/yy to mm/yy; (for example, 02/04 - 09/06). Except for Dates Employed, you may enter more information than what the space appears to allow for under each heading.

Dates employed

Name of employer

Salary

Position/Job Title

Briefly describe your job duties

Reason for leaving

Dates employed

Name of employer

Salary

Position/Job Title

Briefly describe your job duties

Reason for leaving

Dates employed

Name of employer

Salary

Position/Job Title

Briefly describe your job duties

Reason for leaving

Other Information

Education Educational background:

Eligibility Do you have a current valid driver's license?

yes
no

Can you provide verification of your legal right to work in the USA?

yes
no

We will obtain your Social Security Number at the time of your personal interview and ask for verification of your legal work status and completion of the I-9 form no later than 3 business days after hire. Additional Comments If there is anything you would like to add, please make your comments in the box below:

APPLICANT'S STATEMENT

In submitting this applicationI certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentationomission or falsification be discovered it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history. I understand and agree that if employed i will be responsible for familiarization myself with all rules and regulations of the company as they presently exist or are later modified and that i will abide by its rules and regulations which i understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time or to assure me of any further understand that if hired my employment is for no definite period of time and may be terminated by either party at any time .

I Agree
I Don't Agree




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