Lori's Amazing Maids Job Application

We Need Cleaning Professionals!

Any person applying must agree to be professional, courteous, honest, and reliable !! All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Application Date *

Month Day Year
E-mail
Day Time Phone *

Area Code Phone Number
Referred By

First Name Last Name
Date You Are Available To Begin To Work *

Month Day Year
Are You Legally Eligible to Work in the U.S.? *

Yes No Working on it
Do you have a valid driver's license? *

YES NO
How Many Hours Do You Want to Work Per Week? *

0-10 10-20 20-30 30-40 40+
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner *
Employer's Name (Most current) *
Position Held *
Supervisor's Name *
Telephone *

Area Code Phone Number
Reason for Departure *
Duties *
Start Date *

Month Day Year
End Date *

Month Day Year
May we contact this employer? (please check one) *

YES NO
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone

Area Code Phone Number
Reason for Departure
Duties
Start Date

Month Day Year
End Date

Month Day Year
May we contact this employer? (please check one)

YES NO
If NO, reason why not
(3) Employer's Name
Position Held
Supervisor's Name
Telephone

Area Code Phone Number
Reason for Departure
Duties
Start Date

Month Day Year
End Date

Month Day Year
May we contact this employer? (please check one)

YES NO
If NO, reason why not
YOUR CLEANING PROCESS

The questions below are only to give Lori's Amazing Maids and idea of your experience and knowledge level -
This kitchen has not been cleaned in two weeks. Please describe in bullet points how you would clean this room. *
How would you dust a shelf with many trinkets on it? *

Dust the shelf and clean around the trinkets. Remove the trinkets, dust the shelf and line the trinkets up. Remove the trinkets, dust them and place them back as they were. I would do it the way I am trained by Lori's Amazing Maids
What is the procedure in general for cleaning any room in a house? *

Work your way in a circle cleaning everything, at eye level, as you go. Look at the highest points of cleaning, start there and work down to the floor section by section. Clean the more difficult areas first and the easier areas last.
What would you do if there was a $20 bill laying on a table with no note? *

Take the money as a tip. Ask the client if it is meant for you. Leave it where it is. You don't know if it was meant for you.
How do you dust a picture on the wall that has no glass? *

Don't dust it. You don't want to damage it Dust only the frame. Dust the entire picture.
We DO NOT consider OR interview anyone who cannot provide 2 references (work, education or church related). NO FAMILY MEMBERS.
Reference (1) Name *
Reference (1) Telephone *

Area Code Phone Number
Reference (2) Name *
Reference (2) Telephone *

Area Code Phone Number
False information will cause removal from employment.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if this company at anytime learns of falsification or material omission in the information provided on this application form and related documents. You may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Lori's Amazing Maids® , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Lori's Amazing Maids® policies, rules, and procedures. I understand that Lori's Amazing Maids® reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I have never been convicted of a felony and I have no criminal charges pending against me.
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