We are always looking for new members to join our team! We offer an excellent pay, a friendly environment, a chance to gain a new skill and provide a service to people that makes you just feel good.
Please feel free to send a resume along with our application for employment to our fax 835-0948. (copy and paste the form below and fill out) You can also call our office at 832-2078 and speak to someone.

We look forward to having you join the cleaning team!


Anna's Personal Touch Application for Employment

Name: ____________________________

Date Of Application:____________________

Address: _____________________________________________________________________

Telephone: _________________________ SIN#:_______________________________

Applicant Read

This application form is intended for use in evaluating your qualifications for employment. Please answer all appropriate questions completely and accurately. All applications will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin, disabilities or any other legally protected status.


Week day’s ____ Evenings _____ Weekends ____

Date of availability to work? _____________________

Have you ever been employed here before? Yes No

Are you legally eligible for employment in this country? Yes No

Type of employment desired: Full Time Part-Time

Have you been convicted of a felony in the past seven years? Yes No

List other provinces, states and countries of residence for the past seven years: _____________________________________________________________________

Job Duty Info

Have you been given a job description or had the requirements of the job explained to you? Yes No

Do you understand these requirements? Yes No

Any comments concerning transportation? _____________________________________________________________________

Are you qualified to perform all the essential functions of this job? Yes No

If you are a smoker, would you have a problem not smoking for 2-3 hours because there is not always time in between cleans for a smoke break, and you are asked not to smoke in the vehicle in consideration for the others driving with you. Yes No

How do you feel about cleaning homes that are not as clean as your own? _____________________________________________________________________

Do you have any phobias, or fears that would interfere with you performing your job? Such as fear of dogs. Bugs, cobwebs etc? Yes No

If Yes, what are they? _____________________________________________________________________

Do you have a valid driver’s license? Yes No

License#: ___________________________

Class: ____________

How long have you been driving: ____________________

Are you a confident driver? Yes No

How confident do you feel about winter driving? ______________________________________________

Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company. _____________________________________________________________________

Employment History

List your three most recent employers starting with the most recent.

  1. Name of Business/Employer: _______________________________________________________________

Apx date of start: _____________________________ Date of leaving: ________________________

Reason for leaving: _____________________________________________________________________

  1. Name of Business/Employer: _______________________________________________________________

Apx date of start: _____________________________ Date of leaving: ________________________

Reason for leaving: _____________________________________________________________________

  1. Name of Business/Employer: _______________________________________________________________

Apx date of start: _____________________________ Date of leaving: ________________________

Reason for leaving: _____________________________________________________________________

Skill and Qualifications

Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for working with us. _____________________________________________________________________


Please give three references familiar with your work ability. Do not include relatives. Include their name, company, phone number and how many years they have known you.




Certification and Release

I certify that I have read and understand the “applicant read” on page one of this form and that the answers given by me to the forgoing questions and statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application, rescinding an offer, or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and herby release any said persons, schools, companies and law enforcement authorities from any liability damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves that right to terminate my employment at any time with or without cause and without prior notice and I understand that no representative of the Employer has the authority to make any assurance to the contrary. Also by signing you understand that should you become no longer employed with Anna’s Personal Touch Home Cleaning Services you agree not to perform any home cleaning services to past company customers you had cleaned for. It is understood and agreed that you will not provide services to past customers for a period of two years commencing on the date of unemployment with this company.

Signature: __________________________________________

Date: _____________________________________________