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Selah Kleaning
Name: Last, First, Middle
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Position Applying For:
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Full- or Part-time
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Full-Time
Part-Time
Either
Date available for work:
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Hours Available:
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Desired Salary (be specific):
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Desired hrs/wk:
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5-10
10-15
15-20
20-25
25-30
30-35
35-40
Physical Address:
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City, State:
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Home Phone:
Cell Phone:
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Email Address:
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Have you ever been convicted of a felony:
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Yes
No
Are you able to pass a drug screen:
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Yes
No
Are you able to pass a background check:
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Yes
No
If selected for employment are you willing to submit to a pre-employment drug screening test?
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Yes
No
Previous Employer:
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Dates Employed:
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Pay Rate:
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Position:
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Reason for leaving:
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Direct Supervisor Contact Number:
Do you have a permanent internet connection
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Yes
No
Do you have unlimited text messaging?
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Yes
No
Do you own a GPS?
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Yes
No
Do you have clean, reliable transportation to travel in our servicing area?
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Yes
No
If a customer offers you a $50.00 tip, do you accept it?
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Yes
No
It depends
Please attach resume:
Are customers always right?
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Yes
No
Explain:
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What is the first thing you think of with the color yellow?
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Day at the mountains or day at the beach?
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Mountains
Beach
Would you consider yourself to be "OCD"?
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Yes
No
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:
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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?
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Self
With others
Do you work better supervised or unsupervised?
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Supervised
Unsupervised
What is your favorite flower:
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Would you rather have 50 one dollar bills, or 5 ten dollar bills?
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50 - $1.00
5 - $10.00
Where will you go when you die?
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Why? Explain:
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Do you believe that your karma is good or bad:
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Good
Bad
Neither
Don't believe in karma
Explain:
Do you consider yourself to be a good, honest person?
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Yes, all the time
Yes, sometimes
No, not as much as I should be
No, never
Would you rather have 50 ten dollar bills or 100 two dollar bills?
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50 - $10 dollar bills
100 - $2 dollar bills
How long do you think you will live:
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What is the most important thing in life:
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Would you rather work four 10-hour days or five 8-hour days?
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4 10-hour
5 8-hour
List any city organization, school, groups, sports, clubs, etc that you regularly participate in:
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Would you describe yourself as a work-a-holic?
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Yes
No
Do you prefer dogs or cats
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Dogs
Cats
Both
Neither
If you found a bag in the middle of nowhere with a million dollars, what would you do with it?
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Finders, keepers; losers, weepers
Leave it
Try to find the owner
What is your first thought upon seeing a dirty toilet?
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"Eww, gross"
"I'm used to it"
"Some people are just disgusting"
"Let me at that!"
"Do you have gloves?"
What type of work environment do you prefer?
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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?
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What is love?
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Day at the gym or a day resting?
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Day at the gym
Day of rest