Name *

First Name

Last Name

Cell Phone Number *

(###)

###

####

Do you have a current and valid driver's license? *

Yes

No

Work Preference *

Full-Time

Part-Time

Do you have your own car? *

Yes

No

Are you comfortable using public transportation? *

Yes

No

LIMITED RIGHTS *

I UNDERSTAND THAT ALL OF THE ABOVE INFORMATION IS TRUE AND THAT FALSIFICATION OF ANY INFORMATION ON THIS APPLICATION IS GROUNDS FOR TERMINATION. IF I AM HIRED, I UNDERSTAND THAT EITHER SEATTLE'S GREEN CLEANING FAIRY OR I CAN TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE. I AUTHORIZE SPARKLY MAID TO CONTACT REFERENCES PROVIDED FOR EMPLOYMENT REFERENCE CHECKS. IF ANY INFORMATION I HAVE PROVIDED IS UNTRUE. OR IF I HAVE CONCEALED MATERIAL INFORMATION, I UNDERSTAND THAT THIS WILL CONSTITUTE CAUSE FOR THE DENIAL OF EMPLOYMENT OR IMMEDIATE DISMISSAL. I ALSO AGREE THAT AS A CONDITION OF EMPLOYMENT I WILL BE SUBJECT TO PRE-EMPLOYMENT SCREENING INCLUDING DRUG & ALCOHOL SCREENING, CREDIT SCREENING, CRIMINAL AND CIVIL BACKGROUND CHECKS, & MY EMPLOYMENT IS ALWAYS SUBJECT TO THESE REQUIREMENTS

Agree

Disagree