Personal Information

Work History (Please list present or last employer first)

Employer #1

Employer #2

Training/Experience

Past Incidents

This information will be used only for job-related purposes and only to the extent permitted by applicable law. You Got It Maid will consider the offense for which you were convicted, the circumstances surrounding the conviction, and the date of the conviction, as important factors in making its hiring decision.

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Requirements

Minimum Physical Requirements including, but not limited to being able to handle/be around the cleaning supplies; some heavy lifting; bending/kneeling required; must be able to stand to long periods of time.

I understand and agree that:

1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or, if employed, termination from Dutch Cleaning Service.

2. Employment with Dutch Cleaning Service is at will. This simply means that the employment relationship between Dutch Cleaning Service and yourself is based upon mutual consent and can be terminated at any time by either you or Dutch Cleaning Service without notice and without any requirement of cause.

3. Any offer of employment I may receive from Dutch Cleaning Service is contingent upon my successful completion of the company's total pre-employment screening process, including the company's receiving references that it considers satisfactory, and my satisfactory completion of any post offer pre-employment medical examination that the company may require. I also agree, if employed, to submit to a medical examination at any time at the company's request.
I hereby consent to having the results of any post offer pre-employment or post employment medical exams I may be required to take disclosed to Dutch Cleaning Service.

4. I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Dutch Cleaning Service.

5. I authorize any investigator or duly accredited representative of Dutch Cleaning Service bearing this release clause to obtain any information from schools, residential management agents, employers, criminal justice agencies, or individuals, relating to my activities. This information may include, but is not limited to, academic, residential, achievement, performance, attendance, personal history, disciplinary, employment otherwise, arrest, and conviction records. I hereby direct the requested third-party to release such information upon request of Dutch Cleaning Service.

I understand that the information released is for official use by Dutch Cleaning Service and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities. I release any individual, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me on account of compliance, or any attempts to comply, with this authorization.