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Employment Application
First Name
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Last Name
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Address
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City
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State
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Zip Code
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Phone
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Email
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Required fields are marked with an *.
Position Applied for :
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Employment Desired ?
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Do you have a valid and current driver's license ?
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Do you have reliable transportation to and from work ?
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Part-Time Only
Full-Time Only
Full or Part Time
Yes
No
Yes
No
Have you had any accidents during the past three years?
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Yes
No
Have you had any moving violations during the past three years?
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Yes
No
Are you a citizen of the United States?
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Yes
No
If yes, how many?
If yes, how many?
If no, are you authorized to work in the U.S. ?
Yes
No
Have you ever worked for this company?
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Have you ever been convicted of a felony?
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Yes
No
Yes
No
If yes, when?
If yes, explain:
If you have professional cleaning experience please check appropriate boxes below .
General Cleaning
Yes
No
Move Out /In Cleaning
Yes
No
Post Construction Cleanup
Yes
No
Window Cleaning
Yes
No
Power Washing
Yes
No
Female
Male
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Do you have any residential cleaning experience ?
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Yes
No
If yes , please describe
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Age
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