Employment Application

Please complete the entire application below: We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any other legally protected basis.

Your Name:*

Your Email:*

Your Phone Number:*

Your Address

How long at this address?

Your Zip:

Prior Experience (if less then 3 years):

Work Experience:*

House CleaningFood ServiceSalesManufacturingClericalOther

Qualifications: *

Valid Drivers LicenseOwn Transportation (insurance required)Are you able to perform typical tasks associated with cleaning duties (standing,bending,kneeling and lifting up to 50)Have you ever been convicted of a criminal offense? (All employees are required to be bonded and we will conduct a background check)Can you provide proof that you can work legally in this country?

When will you be available?

NowWithin 2 weeks of hire dateOther

Employment Background:
(Supply Name and Address of Your Last Three Employers, Dates Employed, Salary, Position and Duties, and Reason for Leaving):



Comments (anything else you would like to tell us):



Security Code: