Selah Kleaning

Name: Last, First, Middle *
Position Applying For: *
Full- or Part-time *
Date available for work: *
Hours Available: *
Desired Salary (be specific): *
Desired hrs/wk: *
Physical Address: *
City, State: *
Home Phone:
Cell Phone: *
Email Address: *
Have you ever been convicted of a felony: *	Yes No
Are you able to pass a drug screen: *	Yes No
Are you able to pass a background check: *	Yes No
If selected for employment are you willing to submit to a pre-employment drug screening test? *	Yes No
Previous Employer: *
Dates Employed: *
Pay Rate: *
Position: *
Reason for leaving: *
Direct Supervisor Contact Number:
Do you have a permanent internet connection *	Yes No
Do you have unlimited text messaging? *	Yes No
Do you own a GPS? *	Yes No
Do you have clean, reliable transportation to travel in our servicing area? *	Yes No
If a customer offers you a $50.00 tip, do you accept it? *
Please attach resume:
Are customers always right? *
Explain: *
What is the first thing you think of with the color yellow? *
Day at the mountains or day at the beach? *
Would you consider yourself to be "OCD"? *
If a home typically takes 5 hours to complete, but is significantly dirtier than normal on any given day (and you still have 2 more homes on your schedule), what do you do: *	Call management and explain you cannot finish Do less tasks per home to finish your day in time, and leave a note for the customer Complete all tasks on the list and work until late at night Other
If "other", explain:
Do you work better by yourself or with others? *
Do you work better supervised or unsupervised? *
What is your favorite flower: *
Would you rather have 50 one dollar bills, or 5 ten dollar bills? *
Where will you go when you die? *
Why? Explain: *
Do you believe that your karma is good or bad: *
Explain:
Do you consider yourself to be a good, honest person? *
Would you rather have 50 ten dollar bills or 100 two dollar bills? *
How long do you think you will live: *
What is the most important thing in life: *
Would you rather work four 10-hour days or five 8-hour days? *
List any city organization, school, groups, sports, clubs, etc that you regularly participate in: *
Would you describe yourself as a work-a-holic? *
Do you prefer dogs or cats *
If you found a bag in the middle of nowhere with a million dollars, what would you do with it? *
What is your first thought upon seeing a dirty toilet? *
What type of work environment do you prefer? *	Fast-paced Slow-paced Medium-paced
If you completed what you considered to be very good work, and someone came by to criticize it, how would you feel? *
What is love? *
Day at the gym or a day resting? *