A&A Cleaning Services

JOB APPLICATION

First Name*

Last Name*

Date*

Address*

Apt#

City*

State*

Postal Code*

Home Phone

Mobile Phone*

What position are you applying for?

Date Available to Start

Minimum Desired Wage per Hour

Are you 18 or older?

Yes

Hours per week you would like to work?

Are you legally eligible for employment in the United States?

Yes

Have you been convicted of a violent or theft related crime?

Yes

Employer

Job Title

City

State

Phone

Employed From

Employed To

Wage (Hourly Rate/Salary)

Reason for leaving

Summarize the type of work and your duties