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.
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.
Availability
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.
Apx date of start: _____________________________ Date of leaving: ________________________
Reason for leaving: _____________________________________________________________________
Apx date of start: _____________________________ Date of leaving: ________________________
Reason for leaving: _____________________________________________________________________
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. _____________________________________________________________________
References
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.
1.
2.
3.
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: _____________________________________________