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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.