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Employment Application

Employment Application

Date:

Luxury Maids, Inc is an equal opportunity employer and does not discriminate in hiring employees on the basis on race,religion, color, national origin, sex, age disability, veteran status or any other prohibited basis. No question on this application is intended to secure information to be used for such discrimination.

FULL-TIMEPART-TIME
Position Applying for:
Availablity Date:
PERSONAL INFORMATION
LAST, FIRST, MIDDLE NAME
STREET ADDRESS
CITY, STATE, ZIP
HOME PHONE
CELL PHONE
EMAIL
DATE OF BIRTH
STATE OF BIRTH
CITY OF BIRTH
MAIDEN NAME
COUNTY OF BIRTH
NAME (ALSO KNOWN AS)
NOTE: Not required unless hired. This information is used to run a background check and is kept strictly confidential.
In case of emergency, please contact:
Do you have the legal right to live and work in the U.S.? YESNO
If hired, can you provide the documentation required by U.S. law?YESNO
Do you have a legal and current Florida State driver’s license?YESNO
Do you have an automobile?YESNO
If you answered “NO” to any of the above questions, please explain here:
HAVE YOU: Since the age of 18, ever been convicted of a misdemeanor or felony? YESNO

If yes, please provide information on the nature and date. NOTE: Background checks are run on all employees prior to employment. A conviction will not necessarily bar you from employment. Each conviction will be judged on its own merits with respect to circumstances and seriousness
SKILLS AND QUALIFICATIONS
Summarize any job-related training, skills, licenses, certificates, and/or other qualifications.
Are you currently employed?YESNO
May we contact your present employer?YESNO
If you are accepted for employment, when would you be available to start?
Luxury Maids, Inc hours are usually from 8 a.m. to 3 p.m. However, the actual hours vary due to the number of jobs that has been booked by clients. If needed, are you willing to work additional hours? YESNO
If so, which days and time frame(s) would you be willing to work?
EMPLOYMENT HISTORY
Please provide all employment information for your past three employers starting with the most recent.
COMPANY NAME, ADDRESS, PHONE
START DATE
END DATE
POSITION AND DUTIES
PAY RATE
REASON FOR LEAVING
REFERENCES
NAME AND CURRENT COMPANY
PHONE
OCCUPATION
EDUCATION
SCHOOL NAME AND ADDRESS
COURSES STUDIED
LAST YEAR COMPLETED
YEAR GRADUATED
High School
9 10 11 12
College/Technical
1 2 3 4
College/Technical
APPLICANT CERTIFICATION

1. I certify that the answers and information given in this application are true and complete. I under- stand that any false or misleading information provided, or omitted, on this application, in my resume, or during any interview is grounds to disqualify me for consideration for employment and, if discovered after my hire, is grounds for discharge.
2. Except where indicated above, I authorize you to contact my present and former employers, references, schools, and other sources to investigate my background and to verify any of the information contained in this application, in any accompanying resume, or in any interview. I further authorize those employers, references, schools, and other sources to give Luxury Maids, Inc any information concerning my previous employment, education, conduct, and any other relevant in- formation they may have, personal or otherwise.
3. I hereby release and forever discharge all such persons, companies or other sources, and their agents and employees, Luxury Maids, Inc, and its agents and employees, from any and all claims, known or unknown, which may result from the disclosure or collection of the requested in- formation.
4. I understand that this application for employment is not a contract of employment and that if I am hired, my employment with Luxury Maids, Inc, is at-will and can be terminated without cause and without notice at the option of the company or myself.
5. I certify that no representations have been made to me, written or oral, that alter the at-will nature of the employment relationship. I further understand that the at-will nature of the employment relationship may not be changed unless specifically acknowledged in writing by the President of Luxury Maids, Inc, in a document signed by both me and the President.
6. By signing this document below, I hereby give my permission for Luxury maids, Inc. to obtain in- formation relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications. I understand that this information will be used, in part, to determine my eligibility for an employment position with this organization. I also understand that, as long as I remain an employee with Luxury Maids, Inc., the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is avail- able for clarification if I dispute the record as received.
I acknowledge by my signature that I have read and understand the above:

Applicant Signature:
Date:
ADDITIONAL COMMENTS
This area is reserved for comments you wish to make not covered in the application. Completion of this area is optional.