Personal Information:




    Are You Over 18 Years Old?

    Do you have a smart phone?

    Are you legally eligible for employment to work inside the United States of America? YesNo
    Have you ever been convicted of a crime other than a minor traffic violation?YesNo

    Proof of Authorization to work in the US (valid social security card)

    How Did You Hear About our openings?

    At your initial interview can you provide:

    Copy of a valid Nevada Driver's License OR are you able to provide proof of an appointment with the DMV to obtain a Nevada Drivers license?
    Proof of Nevada Auto Insurance
    Current Nevada Auto Registration
    Ability to read, write, speak in English
    Do you own your own vehicle?

    Position Information




    YesNo
    Schedule Restrictions:

    Date Available:
    Salary Desired:
    Days available (Check all days you can work):


    Physical Information

    Do you have problems with any physical limitations that would preclude you from performing the requirements of this job? YesNo

    Are you able to:
    Lift up to 30 lbs daily?YesNo
    Walk up to 8 hours at a time? YesNo
    Stand up to 8 hours at at time?YesNo
    Perform cleaning duties up to 8 hours daily?YesNo
    Mop, Dust, Vacuum, Clean all areas of the laundromat? YesNo
    Wash - Dry - Fold Customers Clothing?YesNo

    Employment History

    Have you ever been employed by this company?

    Briefly describe, in a few sentences, your PAID experience performing commercial, janitorial, hotel or residential cleaning services. Explain your experience with any cleaning supplies you have utilized:


    Employer 1

    Name of Company
    Address
    Position Department Supervisor Telephone Number Date of employment Hours Worked Salary
    Duties Reason for leaving

    Employer 2

    Name of Company
    Address
    Position Department Supervisor Telephone Number Date of employment Hours Worked Salary
    Duties Reason for leaving


    May we Contact Your Present Employer?


    Fill in the following then click the Submit button

    Name Date Email