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