Employment Form - Mayberry's Maids

Employment Form (English)

Application for Employment

Position You are Applying For (Posición para la que solicita)

Day Shift Y/N (Turno de dia)

Night Shift Y/N (Turno nocturne)

Desired Salary $ (Salario deseado)

Are you Bilingual ? Eres bilingue ?

PERSONAL INFORMATION (INFORMACION PERSONAL)

Name *

First

Middle

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

How Long Have you lived at this address ?

Years

Months

Cell Phone

Home Phone

Email *

Are you a US Citizen Eres un ciudadano de los Estados Unidos

Do you have a Felony Arrest ? ¿Tienes un arresto por delito grave

Can you pass a Drug Test Today ? (¿Puede aprobar un examen de drogas

Social Security Number

Have you or an Acquaintance worked for these companies before?

Drivers Lic

State issued

Are you Able to Drive at Night ?

Are you Willing to Drive on Freeways

Do you have a phone that has GPS and can you use it?

Do you have any Appointments or vacation planed in the next 60 day? ¿Tiene alguna cita o vacacions planeadas en los próximos 60 días?

Date

PERSONAL INFORMATION 2 (INFORMACION PERSONAL 2)

Do you have the ability to lift 25-30 pounds ? ¿Tiene la capacidad de levantar 25-30 libras?

Do you have Allergies to any Animals ? ¿Tiene alergia a algún animal?

Are you able to use a Ladder 8-10 Feet high ?

Day Shift is Monday-Friday and Every other Saturday are you able to work these days ? El turno de un día es de lunes a viernes y cada otro sábado puedes trabajar estos días?)

We start at 8:30AM At the Office and Work until completed occasionally after 6 pm, Can you work these hours ?

I Agree and Stating everything stated above is truthful *

I Agree

EMPLOYMENT HISTORY (HISTORIA DEL EMPLEO)

Last Employer Último empleador

Dates Employed Fechas de empleo

From

Work Phone Number

Contact Name (Your Supervisor)

Suporvisors Direct Phone #

Ext

Cell

Work Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Start Rate $ Su tasa de inicio

(Hourly) (%) ( Salary) Your Job Title

Number of People you Supervised Número de personas que supervisó

Were You Fired

Did You Quit the Position?

Did you Give Two Week's Notice?

EMPLOYMENT HISTORY 2 (HISTORIA DEL EMPLEO 2)

Last Employer Último empleador

Dates Employed Fechas de empleo

From

Work Phone Number

Contact Name (Your Supervisor)

Suporvisors Direct Phone

Ext

Cell

Work Address

Address Line 1

Address Line 2

City

State

Zip Code

Your Start Rate $ Su tasa de inicio

(Hourly) (%) ( Salary) Your Job Title

Number of People you Supervised Número de personas que supervisó

Were You Fired

Did You Quit the Position?

Did you Give Two Week's Notice?

PERSONAL REFERENCE (REFERENCIAS PERSONALES)

(1)

Name

Relationship

Company

Phone Number

(2)

Name

Relationship

Company

Phone Number

I Agree and Stating everything stated above is truthful *

I Agree

Name

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Employment Form (English)

Application for Employment

PERSONAL INFORMATION (INFORMACION PERSONAL)

PERSONAL INFORMATION 2 (INFORMACION PERSONAL 2)

EMPLOYMENT HISTORY (HISTORIA DEL EMPLEO)

EMPLOYMENT HISTORY 2 (HISTORIA DEL EMPLEO 2)

PERSONAL REFERENCE (REFERENCIAS PERSONALES)

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