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Employment Application

Contact Information
*First Name:
 Middle 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 Areas  
Manhattan Queens Brooklyn Bronx Staten Island Nassau County
 
*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
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
List any special skills related to the cleaning position which you are applying
Upload Resume
Upload Resume(Not Required):
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