Employment

Fantastic Maid is always looking for good people. If you want to join the team that is known for quality then we want to talk to you!

First Name

Middle Name

Last Name

Present Street Address

Present City

Present State

Present Zip Code

Permanent Street Address

Permanent City

Permanent State

Permanent Zip

Phone Number

Emergency Phone

Social Security Number

Driver's License Number

Driver's License State

Is your drivers license valid?

Yes
No

Do you have any moving violations?

Yes
No

If yes - please explain

# Do you have a vehicle in good working condition?

Yes
No

# Is your vehicle covered by comprehensive liability insurance?

Yes
No

Name of Insurance Company

Policy Number

Vehicle Make

Vehicle Model

Vehicle Year

# Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.?

Yes
No

# Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.? :: Verification and Completion of the I-9 form must be submitted no later than 3 business days after hire

Are you able to lift 50 pounds or more?

Yes
No

# Would you have difficulty standing, bending, or kneeling in connection with performing necessary cleaning duties.

Yes
No

What hours are you available to work during the week?

What date would you be able to begin work?

Are you currently employed?

Yes
No

# If yes, may we contact your current employer?

Yes
No

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