Personal Information:

Are You Over 18 Years Old?
YesNo
Social Security number(Last 4 digits, used to create your unique user ID)

Do you have a smart phone?
YesNo
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) YesNo

How Did You Hear About our openings?
EmployeeAdOther - Please give short explanation

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? YesNo
Proof of Nevada Auto Insurance YesNo
Current Nevada Auto Registration YesNo
Ability to read, write, speak in English YesNo
Do you own your own vehicle? YesNo

Position Information

Are you able to work flexible hours to obtain full time work?
YesNo
Are you available to work flexible shifts included though not limited to Graveyard AND Day time Attendant?
YesNo
Schedule Restrictions:

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

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?
YesNo
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?
YesNo

Fill in the following then click the Submit button

Name Date Email