Employment

(* means required)

First Name*

Middle Initial

Last Name*

Your Email*

Phone Number*

Current Residence (past 1-5 years)

Street Address*

City*

Province*

More About You

Over 19?
YesNo

Previously employed in the cleaning industry?
YesNo

Legally able to work in Canada?
YesNo

Use Facebook?
YesNo

Use Twitter?
YesNo

Have you ever been convicted of a crime other than a traffic violation?
YesNo

Emergency Contact

Contact Name*

Contact Phone Number*

Relationship to You*

Your Work Experience

Present/Last Employer

Start Date

End Date

Phone Number

Address

Pay Rate

Supervisor

May We Contact?
YesNo

Job Title

Reason for Leaving

Please Read Carefully

This Organization does not discriminate in hiring on basis of race, color, religion, sex, national origin. This application does not intend to ask questions that would provide information that could be used for discrimination. Your application will be given the consideration it deserves; however, completing an application does not imply that you will be offered employment. By signing your name below, you understand that nothing contained in this application or any information gained or discussed during the interview process creates an employment contract between you and this Organization. When processing this application, Organization may request a criminal, police or credit background check about you. In addition to these background checks, this Organization may contact past employers, supervisors and/or any person listed in this application regarding the statements made herein and your suitability for employment. This inquiry may include request to disclose information as to your general character, reputation and work-related characteristics. You have the right to make a written request to the Human Resources Department of Life Maid Simple to disclose to you the content of these reports. Also note that should you become employed by this Organization, this Organization may use outside agents or representatives to perform investigations surrounding any claim of wrongdoing including sexual harassment, theft, or fraud. By signing your name, you certify that all statements made by you on this application are true and complete to the best of your knowledge and that any misrepresentations or omissions by you may be the cause for rejection of your application, or may be cause of subsequent dismissal if you are hired.

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