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Residential Maid Service
High Rise Maid Service
Specials
Contact
Employment Application
Employment Application
Admin2759182
2020-07-10T11:33:31-07:00
Employment Application
Employment Application
Date:
*
Referred by:
Position Applying for:
*
Personal Information
Last Name:
*
First Name:
*
Middle Name:
Email:
*
Address:
*
Address:
Address:
Address:
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Home Phone:
*
Mobile Phone:
*
Other:
***YOU WILL BE REQUIRED TO BRING WITH YOU A SOCIAL SECURITY CARD AND VALID DRIVERS LICENSE TO BE COPIED IF HIRED***
In case of emergency, please contact:
Full Name:
Phone:
Relationship:
Full Name:
Phone
Relationship:
More Info
Make & Model of Your Vehicle:
Color:
License Plate:
Do you have transportation to and from work?
*
Yes
No
What days are you available to work?
Monday
Thursday
Tuesday
Friday
Wednesday
Saturday
If hired, when can you start?
*
Have you ever been convicted of a criminal offense?
*
No
Yes
If yes, please explain
If yes, please explain
Have you ever been bonded?
No
Yes
Has your driver's license ever been suspended?
No
Yes
How long have you been a resident of Las Vegas? Months/Years
Can you read and/or speak English?
Would you have difficulty standing, bending or kneeling in connection with performing necessary cleaning duties?
No
Yes
Work Experience
Provide 3 last employers, starting with your present or last place of employment:
Employer 1 Hire Date:
*
Last Day of Employment:
*
Position:
*
Salary:
*
Name of Employer 1:
*
Address of Employer 1:
*
Address of Employer 1:
Address of Employer 1:
Address of Employer 1:
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Supervisor's Name:
*
Supervisor's Phone:
*
Reason for Leaving:
*
Employer 2 Hire Date:
Last Day of Employment:
Position:
Salary:
Name of Employer 2:
Address of Employer 2:
Address of Employer 2:
Address of Employer 2:
Address of Employer 2:
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Supervisor's Name:
Supervisor's Phone:
Reason for Leaving:
Employer 3 Hire Date:
Last Day of Employment:
*
Position:
Salary:
Name of Employer 3:
Address of Employer 3:
Address of Employer 3:
Address of Employer 3:
Address of Employer 3:
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Supervisor's Name:
Supervisor's Phone:
Reason for Leaving:
Submit
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