EMPLOYEE APPLICATION FORM

* Full Name

*Email

* Telephone

* Address

* City, State, Zip

* Date of Birth

* Status

Married

Single

Widow

Upload Drivers License

Upload W-9 Form

* Are you available to work FT or PT

FT - 8 hrs a day

PT - 4 hrs a day

* When can you start work each day?

* You can work nights and weekends?

Yes

No

Do you have any experience on the cleaning industry?

Yes

No

* Prior work experience - provide name and contact information.

How comfortable are you using Microsoft Office or Google Office?

How would you describe yourself?

It is your first language English?

Yes

No

If not, how fluent is your Enlgish?

I can read

I can write

I can speak

* Have you ever had a work injury in the past? If yes, explain

* Do you have any prior felony charges on your record, if yes, please explain.

* By initialing below you acknowledge we will conduct a background check prior to employment.

Please provide 2 work reference

HOURS OF OPERATION: