How to Start and Grow Your Own Cleaning Business
  

Start A Home Cleaning Business

 
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YOUR COMPANY NAME HERE

Application for Employment

If you are interested in becoming a member of our team, you may complete and submit this application online.  Please respond to every section of this form.  The information will be transmitted in confidence to the YOUR COMPANY office in YOUR TOWN.

For a map and directions to this office, click the address link below.   You can print out the map and detailed directions from YOUR  home to the office.    Use the BACK function on your browser to return to this Application after viewing.

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. 

Personal
First Name: Last Name:
Current Street Address:
City: State:  ZIP Code
Phone Number:  How long at this address? 
Prior address (if less than 3 years at above address):
City: State:  ZIP Code
  How long at this prior address? 
Best time to contact you:    Best number to contact you:
Best day to contact you: 
Work Experience

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   service  clerical   

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").  Except for Dates Employed,  you may enter more information than what the space appears to allow for under each heading.

Dates employed Name and address of employer Salary
Position/Job Title Briefly describe your job duties Reason for leaving
Dates employed Name and address of employer Salary
Position/Job Title Briefly describe your job duties Reason for leaving
Dates employed Name and address of employer Salary
Position/Job Title Briefly describe your job duties Reason for leaving
 
Other Information

Education Educational background:     *Please select the highest level achieved

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 have 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 ever 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, YOUR COMPANY NAME 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 make your comments in the box below:

 

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.