Job Application

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We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Opportunity. Applicants and/or employees are
considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical
or mental disability.

Personal Information *

First Name *:

Last Name *:

Application Date (MM/DD/YYYY)

The month and date only shows one number at a time. Ignore, you are doing it correctly.

Address *

Address 1 *:

Address 2:

City *:

State *:

Postal Code *:

Phone No *:

1.General Information

Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accomodation?*

Yes

Cleaning job duties include, but are not limited to: frequent bending, stooping, kneeling, scrubbing, walking, standing and carrying up to 20 lbs. Occasional moving of furniture for the purposes of cleaning underneath.

Have you been convicted of any felonies? *

Yes

A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.

If yes, explain:

2.Education and Training *

Last Grade Completed:

Grade 1-12 College 1-4 - MS, MA, PhD, etc.

Last High School Attended/City:

Graduated or Degree?

Yes

Position Applying for, be specific: *

State fully why you believe you are applying for this position:

Do you have access to a vehicle, full time?

Yes

You must have a dependable vehicle for use to drive to the jobs. You will be compensated for mileage.

Do you have a valid Driver's License and Auto Insurance?

Yes

To qualify for this job you must have reliable transportation, a valid DL, and proof of auto insurance.

Date you can start(MM/DD/YYYY) *:

The month and date only shows one number at a time. Ignore, you are doing it correctly.

3.Employment History *

If currently employed, may we contact your employer?

Yes

Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers.

4.Present or most recent employer

Full name of Company:

Address Line 1

Address Line 2

City

State

Postal Code

Phone Number

Email*

Name & Title of Supervisor

Title of your Position

Reason for Leaving:

Salary BEGIN

Salary End

Employed From (MM/DD/YYYY)*

Employed to (MM/DD/YYYY) *

Leave blank is still employed.

Employer #2

Full name of Company:

Street Address 1

Street Address 2

City

State

Postal Code

Name & Title of Supervisor

Title of your Position

Reason for Leaving:

Salary BEGIN

Salary End

Employed From (MM/DD/YYYY)*

Employed to (MM/DD/YYYY)*

Leave blank is still employed.

EMPLOYER #3

Full name of Company:

Street Address 1

Street Address 2

City

State

Postal Code

Name & Title of Supervisor

Title of your Position

Reason for Leaving:

Salary BEGIN

Salary End

Employed From (MM/DD/YYYY)*

Employed to (MM/DD/YYYY)*

Leave blank is still employed.

READ CAREFULLY :

I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.

Name*

Date(MM/DD/YYYY)*

Submit

REQUEST A QUOTE

Don't stress about cleaning anymore! Give us a call or request a quote
and we will take care of the rest!

GET A QUOTE

Dusting Divas, LLC

Job Application

We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.

Personal Information *

Address *

1.General Information

2.Education and Training *

3.Employment History *

4.Present or most recent employer

Employer #2

EMPLOYER #3

READ CAREFULLY :

REQUEST A QUOTE