Name:
* First:
MI:
* Last:
SSN:
* Address:
* City:
* State:
* Zip:
Phone:
* Primary:
Alternate:
* Are you a United States citizen?
Alien Registration Card #:
* Are you at least 18 years of age?
Vehicle:
Make:
Model:
Year:
Driver's License:
* Number:
* Exp Date:
* Do you have any traffic violations?

Explain,
give dates:

Insurance:
Company:
Exp Date:

General Data:
Honesty is the policy at Maids of Honor. Criminal background checks and random drug tests are conducted.

Have you ever been convicted of a crime (other than traffic violations) or been imprisoned during the last seven years? A conviction will not necessarily bar you from employment.

Explain:
Have you ever been bonded?
Have you ever collected Workman's Compensation?

This job may require you to get up and down from your knees and be able to lift up to twenty-five pounds. Do you have any physical or mental disability that may limit your performance in the job you are applying for?

If so, what can be done to accommodate your limitation?
Employment Desired:
Position:
Date you can start:
Desired salary:

Are you available to work full-time, Monday through Friday, 7:45am until 5:00pm?

Why do you want to be a house cleaner for Maids of Honor?

What special skills or qualities do you have that would make you both a good employee and a good house cleaner?

Are you interested in a position with Maids of Honor in the future such as Trainer, Team Leader or Promoter?

Employment History:
Beginning with the current or most recent employer:

1. Company name:
Your position:
Pay Rate:
Address:
Dates worked:
Reason for leaving:
Name and title of supervisor:
Phone number:
2. Company name:
Your position:
Pay Rate:
Address:
Dates worked:
Reason for leaving:
Name and title of supervisor:
Phone number:
3. Company name:
Your position:
Pay Rate:
Address:
Dates worked:
Reason for leaving:
Name and title of supervisor:
Phone number:
Please give three references other than your past employers:
* Name:
Address:
Phone:
* Name:
Address:
Phone:
* Name:
Address:
Phone:

I authorize investigation of all statements contained in this application. I understand that omission or misrepresentation of facts given is cause for dismissal. Further, I understand and agree that my employment will be for no definate period of time and may, regardless of the date of payment of my wages and salary, be terminated at any time without previous notice.