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Flooring
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Chesterfield, VA
Amelia, VA
Richmond, VA
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Employment
Application for Cleaning Staff
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Name
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First
Last
Address
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City
State
Zip Code
Country
Phone Number
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Email
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Date Available:
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Are you a citizen of the United States?
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Yes
No
Convicted of a felony in the last 5 years?
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Yes
No
If Yes, explain:
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Education
High School:
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Address:
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Did you graduate?
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Yes
No
College and Years Attended:
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Address:
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Diploma:
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Yes
No
Some College
Other studies or certification and years:
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Address:
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Did you graduate/certification:
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Yes
No
Previous Employment:
Company and Supervisor:
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Last
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Address and Phone:
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City
State
Zip Code
Country
Job Title:
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Employed From - To:
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First
Last
[object Object]
Reason for leaving:
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May we contact your previous supervisor for a reference?:
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Yes
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Company and Supervisor:
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Last
Address and Phone:
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Job Title:
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How did you hear about this site?
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Internet Search
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Other
If Other please specify:
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Employed From - To:
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First
Last
[object Object]
Reason for leaving?:
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May we contact your previous supervisor for a reference?:
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References
Full Name:
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Relationship:
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Company:
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Phone:
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Address:
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Disclaimer and Signature:
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release/termination.
Signature:
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Date:
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Home
About
Services
Flooring
Janitorial
House Cleaning
Move Out/Move In Cleaning
Locations
Chesterfield, VA
Amelia, VA
Richmond, VA
Contact Us
Employment