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BASIC INFORMATION

Full Name *

Phone Number *

Email *

Current Address *

No. of Years at this Address *

List Previous Addresses & Dates for the last 5 Years *


EMPLOYMENT BACKGROUND

Are you currently employed? *
YesNo If 'Yes', please tell us where you are working, what your job title is, and how long you have worked there.

If 'No', please let us know why you are not working at this time.

Have you ever worked for a cleaning service before? *
YesNoI've cleaned for a few people on my own

Your Last Three Employers *
(Provide Company Name, Address, Dates Employed, Salary, Position and Duties, and Reason for Leaving):


Have you ever been fired or asked to leave a job? *
YesNo If ‘Yes’, please explain.


AVAILABILITY

Which days are you available? *
MondayTuesdayWednesdayThursdayFriday

What type of position are you seeking? *
Part-Time MorningsPart-Time AfternoonsFull Time

Number of hours available per week *

What's the minimum hours/week you will need to receive? *

Do you have scheduling commitments you need to work around? *
YesNo If so, please explain.

If hired, when would you be available to start? *


Are you able to perform the tasks associated with cleaning houses including, but not limited to: standing for 8 hours, walking up and down stairs, bending, kneeling, and lifting 50 pounds. *
YesNoNot really sure

How did you hear about Meticulous Man Services? *
(if referred, please list individual name, company, publication, etc)

Why do you think you'd like to work for our company? *

Please include 5 References (no family) *
include name, number, and how they know you.




Do you have RELIABLE transportation & valid insurance? *
YesNo

Do You Smoke? *
YesNo

Are You Willing to Submit to a Pre-Employment Background Check and Drug Screen? *
YesNo

What do you think is a good reason for missing time at work? *

Are you currently in school, or considering returning to school? *
check all that apply
YesNoReturning within 12 months or less

Have You ever been Convicted of a Felony? *
YesNo

Are you Legally Eligible for Employment in the U.S.? *
YesNo

Are You at least 18 Years of Age? *
YesNo


ABOUT YOU
We want to get to know you better. We ask the following questions to know who you are and what you like best. There are not any wrong answers! If you find you like both questions or you dislike both questions, that is okay, just go with your gut feeling!

As a friend I would rather: *
See what others want to doFind something for us to do

I would rather: *
Know how to do many tasksBe excellent at a few tasks

If you were planning a 5 day trip to your dream destination, would you rather: *
Plan each day’s activities before you leaveHave a rough idea and see what exciting things the area has to offer

After a conflict I would rather: *
Talk about it as soon as it happens to resolve any tensionThink about what happened and then talk

After I clean my house I like: *
Looking back on how the house was transformedThat my family/friends can visit a clean house

On your day off would your rather: *
Have the freedom see what the day will holdHave a schedule of your day

In a relationship you would rather: *
Find true loveBuild a secure future

You are taking a friend, who has never been to town, to a restaurant, would you rather: *
Go online and find one of the best rated restaurants in townTake them to one of your favorite restaurants

If you are asked to complete one of the following projects that will take 1 hour each to complete, which would you choose: *
Finishing a list of 5 household choresFiguring out why the sink is clogged

I value: *
CourageIntelligence

This is more important to me: *
My FeelingsMy Thoughts

If you were to volunteer for 1 hour, would you rather: *
Help draft a budget for a low income familyHelp watch a child while a single mom goes to a job interview

I dislike it more when: *
Someone is not being truthfulSomeone does not follow through with a task

With my money I enjoying: *
SavingSpending

I would rather: *
Go to an amusement parkGo to a dinner party

When I host a get together it is more important to: *
Find out what the guests like to eatHave enough activities for the day

For a job I would rather have: *
A ListA Project

In school I would have rather: *
Do a painting in art classLearn about honey bees

When describing myself I would say that I am mostly: *
FlexibleOrganizedCommunicativeKnowledgeable

When you see the phrase “We are going to Denver,” your first reaction would be: *
Why are we going to Denver?Who are we going with?Where in Denver are we going?What are we going to do?

I think I am best at *
EnergyRelationshipsResultsStrategy

My key character trait is: *
IngenuitySkillfulnessAuthenticityResponsibility

Overall my mood is: *
EnthusiasticCommittedResponsibleCalm and Collected

I would rather: *
Receive a note of affirmationBe hugged

I would rather: *
Spend one-to-one time with a person who is close to meEnjoy the feeling when someone enthusiastically does a task for me

I like it best: *
When people give me giftsWhen I get to visit with friends and family

I feel loved: *
When people do things to help meWhen people I care about hug me

I feel loved: *
When someone I love or admire puts his/her arm around meWhen I receive a gift from someone I love or admire

I would rather: *
Go places with friends and familyHold hands with people who are special to me

Which one is more important to you: *
Visible symbols of affection such as giftsTo be verbally affirmed

I would rather: *
Have words of acceptanceHave someone help me with a task

I would rather *
Be together with friends and familyHave kind words spoken to me

I feel loved: *
When friends or family helps me with a job or projectWhen I receive gifts from friends or loved ones


Upload Resume (optional)
Click here to upload your resume. Must be .pdf, .doc, or .docx file format.

CERTIFICATION
I hereby authorize the potential employer/contractor to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer/contractor and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment and/or contract if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer/contractor can terminate the relationship at will, with or without cause, at anytime, so long as there is no violation of applicable federal or state law.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment/contract.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.