Kate's Dust Bunny Cleaning - Employment Application - Blair, NE
Kate's Dust Bunny Cleaning - Residential/Commercial services
Employment Application
 
Thank you for your interest in employment with us.  If you would like to submit a resume, please send  to: [email protected]
 
Please fill out the employment application below. Please specify if you are applying for Dust Bunnies or Companion Services.  Once we have reviewed your resume/application, you will be contacted.
 
All of our employees are background checked, and are required to take a urinalysis, upon request, prior to hiring.
 
Dust Bunnies Offers:                          Companions Offers:
 
*flexible schedules                          *flexible schedules
*paid training                                     *weekly pay
*cleaning supplies
*weekly pay
 
Employment Application
Name (Last, First, Middle)
Address (street, city, state, zip)
Phone Number
Social Security Number
State name & relationship of any relatives in our employ
Email address
Date you can start
Salary desired
Are you employed now?
Option #1: Yes
Option #2: No
Can we contact your employer?
Have you ever been employed by this company before?
If so, when?
High School Attended
Graduated
Option #1: Yes
Option #2: No
College/University
Graduated
Option #1: Yes
Option #2: No
College/University subjects studied/major?
Other Schools/Technical (specify)
Graduated/Completed?
Option #1: Yes
Option #2: No
Former Employers (List last 4 employers, starting with present or most recent)
Date (month/year) of employment
Employer's full address
Supervisor's name
Position held
Salary per hour
Reason for leaving
Employer's Name
Employer's full address
Supervisor's name
Position held
Salary per hour
Reason for leaving
Employer's name
Employer's full address
Supervisor's name
Position held
Salary per hour
Reason for leaving
Employer's name
Employer's full address
Supervisor's name
Position held
Salary per hour
Reason for leaving
References: Give the names of three persons NOT RELATED to you, whom you have known at least one year.
Address/or Email
Business
Years acquainted
Name
Address/or email
Business
Years acquainted
Name
Address/or email
Business
Years acquainted
In case of emergency, notify:
Address
Phone number
Authorization: I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, at the discretion of the employer, be terminated at any time without any previous notice. My typed name below stands as legal and binding, in place of my signature.
 
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