Application

Date:

Applicant Name:

First Last

Address:

Street Address City State / Province / Region ZIP / Postal Code

Email Address:

D.O.B.:

Phone Number:

Cell:

Are you 17 years or older?

Are you either U.S. Citizen or an alien authorized to work in the U.S.?

Have you ever been convicted of a felony in the last 7 years?

If yes, explain:

Which do you prefer:

If part time, hours per week desired:

Exact times you are able to work:

Days of week you are able to work:

English Speaking:

Do you have a valid Drivers Liscense?

Are you willing to drive at least 1/2 the time?

Do you have experience in the cleaning profession? If so, please list and explain:

Please provide Maids & Moore Cleaning Services with 3 work references and 2 personal references: