Employment Application We are currently accepting applications for part time house cleaning positions. Please fill out all fields completely and hit the submit button. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Driving is a requirement of the job. Is your license valid?* Yes No Has your drivers license ever been suspended?* Yes No If yes, please explain: Do you have full time access to your vehicle?* Yes No Is your vehicle in good and safe mechanical condition? Yes No Is your vehicle currently insured? Yes No Are you able to submit verification of your legal right to work in the U.S.?* Yes No Have you ever been convicted of a criminal offense?* Yes No If yes, please explain: Would you have difficulty standing, lifting, bending, or kneeling in connection with performing necessary cleaning duties?* Yes No What days of the week are you available to work? Check all that Apply.* Monday Tuesday Wednesday Thursday Friday If you are hired, when can you start work?* MM slash DD slash YYYY Are you currently employed? Yes No If yes, may we contact your current employer? Yes No Which of the following job categories have you held? Housecleaning Hotel/Motel Restaurant Fast Food Janitorial Sales Homemaker Manufacturing Service Other WORK EXPERIENCEList your last three employers, starting with your present or most recent place of employment. You may include in such history any verified work performed on a volunteer basis. Name of most recent / current employer: Position: Dates employed (start and end dates): Hourly salary:Name of previous employer: Position: Dates employed (start and end dates): Hourly salary: Name of previous employer: Position: Dates employed (start and end dates): Hourly salary: EDUCATIONPlease fill out all fields completely. High School Attended (Include City and State): Did you graduate from high school? Yes No College Attended (Include City and State): Did you graduate from college? Yes No Other Education or Degrees Upload Documents Drop files here or Select files Max. file size: 32 MB. Copy of DL, Resume, SS, Photo to use on websiteBio of Yourself*(to be used on website) tell me of your experience Δ