Employment Application - Cleaning and Maid Services in Northwest Florida

"Cleaning Maid Easy has been responsible for daily cleaning of our office since April, 2006. During this time we have found them very responsible, easy to work with, and reasonably priced. We would recommend them with no hesitation."

RaeLene Krempa,
Practice Manager
Emerald Coast Allergy & Asthma Center

We welcome you to join the Cleaning Maid Easy team. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.

*Date:

*Name:

*Street Address:

*City:	*State:	*Zip Code:

*Phone:	*Cell Phone:

*Email:

*How were you referred to our company?:

*Have you worked in the cleaning industry before?:
	Yes		No

*List any relevant experience:

*Position applying for:
	Full-Time		Part-Time

*Date Available to Start:

*Hours Available to Work:

*Days Available to Work:

*Are you legally entitled to work in the United States?
	Yes		No

*Are you willing to submit to a drug test?
	Yes		No

*Are you willing to submit to a background check?
	Yes		No

*Have you ever been convicted of a felony? (If yes, please explain):
	Yes		No

*Are you bondable?
	Yes		No

*Highest level of education completed:

*Are there any skills, experience, or other qualifications which you feel would assist you in performing the
duties of the position you have applied for?:

List below your last two employers, starting with the most recent:

*Employer's Name:

*Supervisor's Name:

*Reason for departure:

*Position(s) held:

*Duties:

*Start Date:	*End Date:

*May we contact this employer? (If not state reason):
	Yes	No

*Employer's Name:

*Supervisor's Name:

*Reason for departure:

*Position(s) held:

*Duties:

*Start Date:	*End Date:

*May we contact this employer? (If not state reason):
	Yes	No

*When is the best time to contact you: