Keystone PropertyCare Application
Date of Application
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/
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YYYY
Name
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Date of Birth
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DD
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YYYY
Present Address
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Telephone
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If under 18, please list current age:
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Position applied for or town/region you would like to work in
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What days of the week are you available?
Time of day
Can you work nights?
How many hours can you work weekly?
Your answer
Educational History
Your answer
Have you ever been convicted of a crime?
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
Cleaning Skills
Your answer
References
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Do you have a driver's license?
Do you have a means of consistent transportation
What state is your drivers license from?
Your answer
License Type
Your answer
Accident History
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Do you have any military History?
Are you now a member of the National Guard?
Work Experience
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May we contact your current employer?
Did you complete this application yourself?
Email Address
Your answer
Any additional information you'd like to add?
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