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Last Name*
First Name*
Email*
Address*
Phone Number*
Employment History (last 2 employers)
Employer*
Start Date*
End Date*
Work Performed*
Salary*
Employer
Start Date
End Date
Work Performed
Salary
Education Level*
Have you been convicted of a felony?*
YesNo
If Yes, what felony?
Do you have your own transportation?*
Available Shift*:
Part-TimeFull-Time
DayEvening
Are you 18 Years or older?*
Will you pass a drug test?*
What hourly rate are you looking to make?* (Minimum wage is $8.50)
Are you prevented from lawfully becoming unemployment in this county due to VISA or immigration status?* (Proof of citizenship
or immigration status is regarded upon employment)
Do you have cleaning Experience?*
If yes, how many years?
Please leave this field empty.