Excellentia – Employment Application
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Name
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First
Last
E-Mail
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Address
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City
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Zip Code
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Are you legally authorized to work in the US?
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Select…
Yes
No
Most Recent Job Title
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Most Recent Employer
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Previous Supervisor First and Last Name
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Previous Supervisor Phone Number
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Do You have a valid driver’s license?
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Select…
Yes
No
Do you have a reliable car with valid insurance?
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Select…
Yes
No
Car Make & Model
Are you willing to undergo a background check in accordance with federal/state/local laws?
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Select…
Yes
No
Are you available to work Monday – Friday?
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Select…
Yes
No
Are you available to work 8:00 AM – 5:00 PM?
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Select…
Yes
No
Are you at least 18 years of age?
Select…
Yes
No
How many years house cleaning experience do you have?
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Select…
No experience
Less than 1 year
1-2 years
3-5 years
More than 5 years
Do you understand that pay rate is starting at $20/hr. After 90 days of no missed appointments, your rate will be $24 per hour. Once you reach an average of 35 hours a week, your pay will be $25 and hour.
Select…
Yes
No
Why should we hire you?
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Tell us why you think you would be a great fit for us! You can tell us as much as you want or just type N/A.
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