MY MAIDS APPLICATION
Name: Last, Middle, First
Social Security Number
Date of Birth
Phone Number / Email Address
Present Address
Position Applying for
Are you a Veteran?
Can you start immediately?
Looking for a Part time or Full time Position?
Do you have cleaning experience?
Do you have any physical limitations to work?
Have you ever been convicted? If so elaborate...
Are you over 18 and authorized to work in U.S.?
Educational Data:
Character Reference 1: Name Address/Phone Position
Character Reference 2: Name Address/Phone Position
Character Reference 3: Name Address/Phone Position
Previous Employment Experience: Employer / Dates Employed(from/To) / Duties/ Position/ Immediate Supervisor/ Reason for Leaving
Previous Employment Experience: Employer / Dates Employed(from/To)/ Duties / Position/ Immediate Supervisor/ Reason for Leaving
Previous Employment Experience: Employer / Dates Employed(from/To)/ Duties / Position/ Immediate Supervisor/ Reason for Leaving
Previous Employment Experience: Employer / Dates Employed(from/To)/ Duties / Position/ Immediate Supervisor/ Reason for Leaving
Emergency Contact / Phone Number :
Signature Date
Submit
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