Please complete the following application as completely as possible or it may delay our prompt response. Thank you.
Personal
First Name:
*
Last Name
*
E-mail:
*
Telephone Number:
*
Current Address: (MUST include City!)
*
How Long at Current Address?
Prior Address (if less than 3 years at above address)
How Long at Prior Address?
Best Time to Contact You?
Best Day to Contact You?
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Best Telephone # to contact you?
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Work Experience
When can you start?
-
Month
-
Day
Year
at
/
Hour
Minutes
AM
PM
Are You Presently Employed?
Yes
No
Which of the Following Categories of Jobs Have you Had? Please Check Each Job Category that you've Worked at:
House Cleaning
Fast Food
Hotel/Motel
Janitorial
Manufacturing
Restaurant
Sales
Customer Service
Clerical
Other*
*Other Explain:
Please list below your last three employers, starting with your present or last place of employment. When responding to "Dates Employed" use the format " mm/yy to mm/yy" (for example, "02/04 - 09/06").
If you have a resume, you can opt to upload your resume in either MS Word or Adobe PDF file formats instead of or in addition to filling-in your work experience below.
Cover Letter
Upload Resume
Name and Address of Employer #1:
Dates Employer #1:
Salary #1:
Name and Address of Employer #2:
Dates of Employer #2:
Salary #2:
Name and Address of Emplyer #3:
Dates of Employer #3:
Salary #3
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Other Information
EDUCATION
Please select the highest level achieved:
Some High School
H.S. Graduate
GED
Some College
College Graduate
Trade School
ELIGIBILITY
Do You Have a Current Valid Driver's License?
Yes
No
Do You Have your Own Vehicle?
Yes
No
Is it Insured?
Yes*
No
Not Applicable; I Do Not Own Car.
* We will require proof of comprehensive liability insurance.
Can You Provide Verification of your Legal Right to Work in the USA?
Yes
No
We will obtain your Social Security Number at the time of your personal interview and ask for verification of your legal work status and completion of the I-9 form no later than 3 business days after hire.
Are You Able to Lift 50 Pounds or More?
Yes
No
Would you Have Difficulty Standing, Bending or Kneeling in Connection with Performing the Necessary Cleaning Duties?
Yes
No
Have You Been Convicted of a Criminal Offense?
Yes
No
Due to the security-sensitive nature of the job, all employees are required to be bonded. As a matter of policy, Fresh Tech Maid Services conducts a police background and driving record check on any applicant in consideration of hiring.
Additional Comments: If there is anything you would like to add, please provide your comments:
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APPLICANT'S STATEMENT
In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history. I understand that prior to employment that the YOUR COMPANY NAME will conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a police report and driving record. I understand and agree that, if employed, I will be responsible for familiarizing myself with all rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.
.
I have read, understand and agree with the above.
I do not agree.
Submit
Should be Empty: