Employment Application

PLEASE DO NOT FILL OUT THIS APPLICATION UNLESS YOU UNDERSTAND AND AGREE TO THE FOLLOWING:
 
By submitting this employment application, you warrant that the submitted information is true to the best of your knowledge and belief and misrepresentations may disallow you from employment at Maid U Smile. All employee applications are verified, including but not limited to work history verification and a thorough criminal background check through law enforcement agencies and/or independent firms.

All employees agree to a Confidentiality and Non-Compete Agreement and agree to comply with all company policies and procedures. If hired, you will be placed on probation for a minimum of ninety (90) days. Employment at Maid U Smile is strictly at-will in accordance with North Carolina State Law.

As a full time employee, you are responsible for your children’s (if applicable) care while you are at work, your transportation means to and from work, and your ability to communicate with your employer when you can not come to work. These are not considered acceptable reasons for ongoing absence from work.

You understand that as permitted by applicable law, you will be subject to urine and/or breath samples for substance abuse testing as a condition of employment for, pre-employment, at random, post-accident, reasonable suspicion and/or return to work status. You further authorize the results of such testing to be provided to Maid U Smile.

Additional Information

Required Fields (*)

Date of Application:*  
First Name:*
Middle:
Last Name:*
Phone number with area code where you can be reached:*
Current Street Address:*
City:*
State:*
Zip Code:*
Date From Month and Year:*
Prior Steet Address (if not at current address for 3 years):
Prior City:
Prior State:
Prior Zip Code:
Socail Security Numbers Are Verified Through The U.S. Department Of Social Security
Are You A Citizen of The United States? (yes/no):*
If you answered "No", are you a National of the United States? (yes/no):
If you answered "No", are you a Lawful Resident Alien of the United States? (yes/no):
Do you have vaild documentation as required by the I.N.S. to verify citizenship/residency status? (yes/no):
Employment History (list current or most recent employment first)
Company Name:
Position Held:
Job Duties:
Supervisor's Name:
Phone number with area code:
City:
State:
Number of days missed during this employment:
Work Stats (Full Time/Part Time):
Employment Starting Date (month and year):
Employment End Date (month and year):
Starting Rate of Pay:
Current or Ending Rate of Pay:
If you are currently employed, may we contact this employer for a reference? (yes/no):
If you are not currently employed, were you termintated? (yes/no):
If yes, indicate why.:
If you were not terminated, why did you leave?:
Are you eligible for re-hire? (yes/no):
Name of Company:
Position Held:
Job Duties:
Supervisor's Name:
Phone number with area code:
City:
State:
Number of days missed during this employment:
Work Stats (Full Time/Part Time):
Employment Starting Date (month and year):
Employment End Date (month and year):
Starting Rate of Pay:
Ending Rate of Pay:
Were you termintated? (yes/no):
If yes, indicate why.:
If you were not terminated, why did you leave?:
Are you eligible for re-hire? (yes/no):
Employment Restrictions
If hired, do you need to provide your present employer with a notice? (yes/no):*
If you answered "Yes", how much notice do you need to provide?:
If you answered "No", explain why.:
If hired, when could you start work?:*  
How much do you need to make each week (before taxes)?:*
Do you have any restrictions working Monday through Friday from 8:00 A.M. 5:00 P.M.? (yes/no):*
If you answered "Yes", what restrictions do you have?:
Do you have reliable transportation to and from work? (yes/no):*
Have you previously worked for Maid U Smile or Santational Maids? (yes/no):*
If you answered "Yes", when? (year/years):
Do you have any relatives or friends working for Maid U Smile? (yes/no):*
If you answered "Yes", who?:
Email Address:*
Re-enter email address:

site by: the visual studio