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Employment Application

Contact Information
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email:
*Home Phone:
Cell Phone:
*Position Desired
House Cleaner Office Cleaner Carpet Cleaner
*Employment Desired
Full Time Part Time  
*Days Available To Work
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
*Hours Available To Work
Anytime Daytime
(8am - 7pm Availability)
Evening
(5pm - 12am Availability)
Overnight
(12am - 8am Availability)
*Areas Available To Work
All NY Areas  
Manhattan Queens Brooklyn Bronx Staten Island Nassau County
All NJ Areas  
Central New Jersey North New Jersey South New Jersey
 
*Available Start Date:
*Salary Desired:
*Do you have a valid Driver's License? Yes No
If yes, do you have experience driving a commercial van? Yes No
*Do you have your own vehicle available to use for work? Yes No
Employment History
Please list chronologically beginning with most recent first
Employer 1
*Name of Employer:
*Type of Business:
 
*Position:
*Salary:
Supervisor:
Address:
*City:
*State:
Phone:
*Duties:
*From (MM/YYYY):
*To (MM/YYYY):
 
*Reason For Leaving:
 
Employer 2
Name of Employer:
Type of Business:
 
Position:
Salary:
Supervisor:
Address:
City:
State:
Phone:
Duties:
From (MM/YYYY):
To (MM/YYYY):
 
Reason For Leaving:
 
Employer 3
Name of Employer:
Type of Business:
 
Position:
Salary:
Supervisor:
Address:
City:
State:
Phone:
Duties:
From (MM/YYYY):
To (MM/YYYY):
 
Reason For Leaving:
Education History
*High School:
*Highest Grade Completed:
Diploma Received
Yes No
College:
Years Completed:
Degree Received:
References
Please provide names and numbers of 2 references that are not family or friends
*Name:
*Phone Number:
*Years Known:
*Name:
*Phone Number:
*Years Known:
Do you have experience with any of the Following?
*Ironing Yes No
*Laundry Yes No
*Steam Cleaning Machines Yes No
*Backpack Vacuums Yes No
*Carpet Cleaning Extractor Yes No
*Post Construction Cleaning Yes No
*Stainless Steel Cleaning Yes No
*Professional House Cleaning Yes No
List any special skills related to the cleaning position which you are applying
Upload Resume
Upload Resume(Not Required):

 

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