First Name

Last Name

Phone *

Email *

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Are you over the age of 18?

Do You Have A Valid Drivers License?

Do you have a reliable, insured and licensed vehicle?

Have you ever been convicted of a criminal offense?

If above is yes, please explain.

Can you pass a Controlled Substance Testing?

If above is No, please explain.

Would you be available to work full-time 40 hours?

Are you able to lift up to 25 pounds?

Would you have difficulty standing, bending, or kneeling?

Are you allergic to Cleaning Chemicals?

Are you allergic to cats and/or dogs?

Are you afraid of cats and/or dogs?

When are you able to start?

Please choose the option that best describes you (there is no wrong answer)1

Choose the option that best describes you (there is no wrong answer)2

Why are you interested in working for American Maids Floor Specialist?

Applicant Signature: *By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.