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Employment Application
Employment Application
Employment Application
maly-mtp-admin
2025-05-05T15:23:50-05:00
Step
1
of
3
33%
Name
(Required)
Previous Name
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Have you lived outside of Nebraska?
Yes
No
If Yes, where?
(Required)
What position are you applying for?
(Required)
How did you hear about us?
What days are you available to work?
(Required)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you own a reliable car that you can drive every day? (Please note driving responsibilities are shared)
Yes
No
Do you have a valid driver's license and automobile insurance?
Yes
No
Maid To Please does require a random drug screens and pre-employment physicals. Are there any reasons you cannot physically fulfill the requirements listed in the job description? (Please see attached job description)
Have you ever been convicted of a theft crime(s)?
Yes
No
If yes, what were they and where did they occur?
Have you ever done cleaning work before?
Yes
No
If yes, where?
Did you enjoy it?
Yes
No
If yes, where and did you enjoy it?
How did you hear about work opportunities here?
List your last 5 employers (List last one first.)
Company 1 Name
Type of Business
Address, City, State
Phone
Your Title
Wage
Beginning date of employment
MM slash DD slash YYYY
End date of employment
MM slash DD slash YYYY
If you are still employed there, what are your hours?
Describe work done there
Do you like your job?
Yes
No
Why or Why Not
If you have left your job, explain why
Company 2 Name
Type of Business
Address, City, State
Phone
Your Title
Wage
Beginning date of employment
MM slash DD slash YYYY
End date of employment
MM slash DD slash YYYY
If you are still employed there, what are your hours?
Describe work done there
Do you like your job?
Yes
No
Why or Why Not
If you have left your job, explain why
Company 3 Name
Type of Business
Address, City, State
Phone
Your Title
Wage
Beginning date of employment
MM slash DD slash YYYY
End date of employment
MM slash DD slash YYYY
If you are still employed there, what are your hours?
Describe work done there
Do you like your job?
Yes
No
Why or Why Not
If you have left your job, explain why
Company 4 Name
Type of Business
Address, City, State
Phone
Your Title
Wage
Beginning date of employment
MM slash DD slash YYYY
End date of employment
MM slash DD slash YYYY
If you are still employed there, what are your hours?
Describe work done there
Do you like your job?
Yes
No
Why or Why Not
If you have left your job, explain why
Company 5 Name
Type of Business
Address, City, State
Phone
Your Title
Wage
Beginning date of employment
MM slash DD slash YYYY
End date of employment
MM slash DD slash YYYY
If you are still employed there, what are your hours?
Describe work done there
Do you like your job?
Yes
No
Why or Why Not
If you have left your job, explain why
Additional Information
Have you ever been in the military?
Yes
No
If yes, how long?
In what branch did you serve?
What was your type of discharge?
Indicate your highest grade completed:
High School:
College:
Any degrees completed?
Yes
No
Where?
Major of study:
What are your future plans or goals?
I understand in order to be considered for employment at Maid To Please, I must own a reliable car that I can drive every day, a valid driver's license and proof of insurance (please note: driving responsibilities are shared).
Yes
No
Acceptance
(Required)
I hereby swear that all information furnished on this application is, to the best of my knowledge, truthful and complete. Also I hereby consent to undergo a drug screening and physical examination by a physician appointed by the company, at company expens
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