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Employment Questioneer/Application
First name:
Last name:
Street Address:
City:
State:
Zip Code:
Day phone:
Evening phone:
Email address:
What days and times are you available to work?
Do you use text messages?:
Yes
No
Have you cleaned before?
Yes
No
Will you work in Scranton area?
Yes
No
Will you work in Clarks Summit area?
Yes
No
Will you work in Tunkhannock area?
Yes
No
Will you work in Olyphant area?
Yes
No
Will you work in Dunmore area?
Yes
No
Will you work in Carbondale area?
Yes
No
Will you work in Pittston area?
Yes
No
Will you work in Kingston area?
Yes
No
Will you work in Wilkes-Barre area?
Yes
No
Will you work in Dallas area?
Yes
No
Will you work in Honesdale area?
Yes
No
Will you work in Lake Ariel area?
Yes
No
Will you work in Stroudsburg?
Yes
No
Are you willing to take a drug test?
Yes
No
Are you willing to complete a background check?
Yes
No
Are you ok with driving your own car from job to job?
Yes
No
Are you ok with transporting a vacuum, chemicals, and towels in your vehicle?
Yes
No
Do you have a valid/unrestricted driver's license?
Yes
No
Do you have valid auto insurance?
Yes
No
Are you ok driving in bad weather and snow?
Yes
No
Professional References #1
name
company
title
phone#
Professional References #2
name
company
title
phone#
Anything else you would like to add?
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