Application for Employment

Sisters Cleaning, LLC

N114 W19380 Clinton Drive

#5

Germantown, WI

53022

[email protected] www.sisterscleaning.net

Name: First, Middle initial 

____________________________________________________________________________________________________

Social Security Number

______________________________________

Address City State Zip code

_______________________________________________________________________________________________________________

Phone number 

__________________________

Cell Phone number

___________________________

Are you a citizen of the U.S or do you have a legal right to work in the U.S.? 

 Yes No

Are you 18 years or older? 

 Yes No

Have you ever pleaded “guilty”, “no-contest” or been convicted of a crime? 

 Yes No

If “yes”, Please provide details

__________________________________________________________________________________________________

Do you consent to a background check? 

 Yes No

Type of employment desired: 

 Full time: Part time: Date available to start?

How many hours per week? ________________________________

Do you have reliable transportation to and from the office? 

 Yes No

Hours available to work Monday Tuesday Wednesday Thursday Friday 

From

TO

Past work experience:

Employer: ________________________________________________________ start date: __________________End date: _____________________

Reason why you left?__________________________________________________________________________________________ 

duties:________________________________________________________________________________________ 

Phone number: ___________________ Manager: _______________________________

May we contact? 

 Yes No

 Employer:_______________________________________________________________ start date: __________________End date: _____________________

Reason why you left?__________________________________________________________________________________________

duties:________________________________________________________________________________________ _____________________________________________________________________________________________

hone number: ___________________ Manager: ____________________________________________________

May we contact? 

 Yes No

 References:

Name ________________________________________________________________________________________ phone number_______________________________________________Email______________________________

Relationship _________________________________________________________________________________

Name ________________________________________________________________________________________ phone number_______________________________________________Email______________________________

Relationship __________________________________________________________________________________

Name ________________________________________________________________________________________ phone number_______________________________________________Email______________________________

Relationship __________________________________________________________________________________ Education

High School Dates attended & Year graduated

College Dates Attended Year graduate

Qualification, certificates for this position applying for

_____________________________________________________________________________________________ _____________________________________________________________________________________________

By signing I attest that all information is truthful and to the best of my knowledge:

Print name ___________________________________________________________________________________________________________

Signature ______________________________________________________________________________________Date___________________