Well Maid Employment Application

Are we *maid* for each other?

First Name:
Last Name:
Position and Location Applying For: (OKC or Norman)
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
Home Phone:
Mobile Phone:
Email:
Social Security Number (required at hire.) :  
 SSN:  
 Are you a US citizen? I am a US citizen.  I am NOT a US citizen.
Best way to contact you?:
 Available Start Date?:  
Do you have your own legal transportation?   Please Describe:  
   
Have you ever been convicted of a felony? If yes, please explain::  I have NEVER been convicted of a felony.  

  Yes, I have been convicted of a felony.
   
 Please check this box.  I am willing to submit to a background check for the purpose of bonding.
This job requires lifting of up to 40 lbs., standing for long periods, bending, squatting, stretching, and kneeling. Do you have any physical limitations that would prevent this?:
   
Education History
Highest Grade Completed::
 Where did you attend Highschool/College?:  
Did you graduate?   Yes, I graduated.
No, I did not graduate.
 Currently enrolled in school?:  
Where? Major?:
   
Employment History
Please list former employment, starting with the most recent first. 
 
1.  Employer's Name, Date of Employment, Position and description. :
1.  May we contact?:
2.  Employer's Name, Dates of Employment, Position and Description:
2.  May we contact?:
3.  Employer's Name, Date of employment, Position and Description:
3.  May we contact?:
   
References
 
 
1.  Name:
 Type of Reference Personal (1)
  Professional (1)
1.  Company or Title:
1.  Phone Number:
2.  Name:
Type of Reference Personal (2)
  Professional (2)
2.  Company or Title:
2.  Phone Number:
3.  Name:
 Type of Reference Personal (3)
  Professional (3)
3.  Company or Title:
3.  Phone Number:
Availability  Please list the times you are available to work each day.   
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Why would you like to work for Well Maid? Is there anything else we should know about you?:

Clicking "submit" will send your application to the hiring manager's email address.  You will then be redirected to our homepage.  
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