Apply For a Job

Name*
First Last
Cell Phone*
Second Phone (work/home)
Email*
Date you can start*
MM slash DD slash YYYY
Days & Hours Available*
Do you have experience cleaning (beyond your own house)*
- Yes
- No
If yes, please describe:
References
Include 3 work references and 3 personal references (no relatives). List name and phone number and how you know them and for how long you’ve known them.
1.)
2.)
3.)
4.)
5.)
6.)
Have you ever been arrested?
- Yes
- No
If Yes, please explain
Work History
Current Company Name
Company address & phone
Job title/duties
Hours per week
Schedule
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start Pay
End Pay
Supervisor
Prior Company Name
Address & Phone
Job title/duties
Hours per week
Schedule
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start pay
End pay
Supervisor
Reason for leaving
Prior Company Name
Address & Phone
Job title/duties
Hours per week
Schedule
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start pay
End pay
Supervisor
Reason for leaving
Prior Company Name
Address & Phone
Job title/duties
Hours per week
Schedule
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start pay
End pay
Supervisor
Reason for leaving
Prior Company Name
Address & Phone
Job title/duties
Hours per week
Schedule
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start pay
End pay
Supervisor
Reason for leaving

References