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I. PERSONAL INFORMATION & II. BACKGROUND INFORMATION
Please read application carefully. Answer all questions completely. We are an Equal Opportunity Employer. No question on this application is intended to be discriminatory under any applicable Federal, State or Local Fair Employment Practices Law.
First and Middle Name
District of Columbia
Zip / Post Code
Have you ever been involuntarily terminated or requested to resign?
Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties?
Verification and completion of the I-9 form must be submitted no later than 3 business days after hire. If hired, can you provide verification of legal right to work in the United States?
Driving is a job requirement. Do you have a valid driver’s license?
If hired, would you have reliable transportation to and from work?
Driver’s license number - State of Issue - Expiration Date
Do you have friends or relatives working for our company?
If Yes, Name and Relationship:
Have you ever worked under a different name?
If “Yes, list name:
III. EMPLOYMENT INTERESTS
Available to work overtime?
Type of Employment Desired (Check any or all that apply.)
How were you referred to our company?
Name Advertisement, Employee or Other please.
IV. EDUCATION INFORMATION
Education Level - Graduated from:
Please name all below: High School / College / Trade School
V. SKILLS -
If Applicable for Position for Which You Are Applying. Do you have any experience, training; qualifications which you think make you especially suited for work at this company? (Explain)
VI. EMPLOYMENT INFORMATION (Start with CURRENT OR MOST recent employer.)
1. Current or Most Recent Employer’s name and complete address:
2. Recent Employer’s name and complete address:
3. Recent Employer’s name and complete address:
VII. PERSONAL REFERENCES (Please list persons NOT related to you, whom you have known at least three (3) years.)
Before signing and initialing below, please read each statement carefully. By signing and initialing, applicant acknowledges they have read, understand and agree with the statements. Only fully completed, signed and dated applications are considered. If you have any questions about the application, please ask them before signing.
I authorize any person, school, current employer (except as expressly noted), past employer(s), and organizations named in this application form (and accompanying resume or other documentation, if any) to provide Maid to Clean, L.L.C. with relevant information and opinion, personal or otherwise, that may be useful in making a hiring decision. I release all parties from all liability for any damage that may result from furnishing information and opinion to you.
In consideration of employment, I agree to obey the rules and standards of Maid To Clean, L.L.C which I understand are subject to change. I understand that nothing contained in this application or in the interview process is intended to create a contract between Maid To Clean, L.L.C. and myself for either employment or for the providing of any benefits.
I understand that as a condition of employment I may be required to take a post-offer/pre-employment physical examination that may include an alcohol and drug test. I further understand that at any time during my employment, I may be required at random to take a physical examination which may include an alcohol and drug test. I authorize all providers of health care who examine me to disclose to Maid To Clean, L.L.C. or its agents, all medical information revealed during such examinations.
I understand that all offers of employment are conditioned upon my providing satisfactory documentary proof of my identity and legal eligibility to live and work in the U.S.
I hereby acknowledge that I have read the above statements and understand them. I certify that I, the undersigned applicant, have personally completed this application. I declare under penalty of perjury that the facts contained in the application (or any resume or other documents submitted) are true and complete to the best of my knowledge. I understand that any misrepresentations or omissions will disqualify me from consideration for employment.
This application is current for only sixty (60) days from the date above signed. At the conclusion of this time, if applicant has not heard from Maid to Clean, L.L.C. and still wishes to be considered for employment, it will be necessary to fill out a new application.
I, the applicant AGREE with all the above terms and conditions.
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