Employment Application | House Cleaning Jobs in Lincoln, NE

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Employment Application

Maid To Please is an Equal Opportunity Employer

First Name

Middle Name

Last Name

Address

City

State

Zip

Telephone number

Social Security Number

Have you lived outside of Nebraska?

Yes
No

If yes, where?

Position applying for

How did you hear about us?

What days are you available to work?

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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 attaches 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 been convicted of a felony(s)?

Yes
No

If yes, what were they and when did they occur?

Have you ever done cleaning work before?

Yes
No

If yes, where?

Did you enjoy it?

Yes
No

Why or why not?

Do you have supervisory experience?

Yes
No

Is 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

Company Name

Type of Business

Address, City, State

Phone

Your title

Wage

Dates of employment

–

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

Company Name

Type of business

Address, City, State

Phone

Your title

Wage

Employment dates

–

Describe work done there

Did you like your job?

Yes
No

Why or why not?

Why did you leave this job?

Company 3

Company Name

Type of business

Address, City, State

Phone

Your title

Wage

Employment dates

–

Describe work done there

Did you like your job?

Yes
No

Why or why not?

Why did you leave this job?

Company 4

Company Name

Type of business

Address, City, State

Phone

Your title

Wage

Employment dates

–

Describe work done there

Company 5

Company name

Type of business

Address, City, State

Phone

Your title

Wage

Employment dates

–

Describe work done there

Did you like your job?

Yes
No

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Why or why not?

Why did you leave this job?

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 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

Employment

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