Employment Application

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Employment Application

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone *

Email *

Required fields are marked with an *.

Position Applied for : *

Employment Desired ? *

Do you have a valid and current driver's license ? *

Do you have reliable transportation to and from work ? *

Part-Time Only

Full-Time Only

Full or Part Time

Yes

Have you had any accidents during the past three years? *

Yes

Have you had any moving violations during the past three years? *

Yes

Are you a citizen of the United States? *

Yes

If yes, how many?

If no, are you authorized to work in the U.S. ?

Yes

Have you ever worked for this company? *

Have you ever been convicted of a felony? *

Yes

If yes, when?

If yes, explain:

If you have professional cleaning experience please check appropriate boxes below .

General Cleaning

Yes

Move Out /In Cleaning

Yes

Post Construction Cleanup

Yes

Window Cleaning

Yes

Power Washing

Yes

Female

Male

Do you have any residential cleaning experience ? *

Yes

If yes , please describe *

Age *