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Royal Cleaning Service Inc. job aplication

First Name :

   *

Last Name :

   *

SSN :

   -  - *   

Phone Number :

  (  )  - *   

Extension:

  

Cell Phone Number :

  (  )  - *   

Provider:

E-Mail :

   *

Address1 :

   *

Address2 :

   

City :

   *

State :

  

Zip Code :

   *


Have you ever been in any Goverment Programm?

  Yes    No 

If yes which one :

  

Do you get any Goverment Assistance?

  Yes    No 

If Yes which one?

  

If No, did you ever get any assistance before and which one and when?

  

Have you ever been convicted of any crime?

  Yes    No 

If Yes explaine :

   

In case of Emergency Notify :

   *

Name :

  

Relationship :

  

Address :

  

Emergency Phone :

  (  )  - *   

Ext:

  


Employment History

1. Company :

   *

Date Employed :

  

Salary :$

  

Reason for leaving :

  

2. Company :

   *

Date Employed :

  

Salary :$

  

Reason for leaving :

  


References

Name :

 

Phone Number :

  (  )  -    

Extension:

  

Name :

 

Phone Number :

  (  )  -    

Extension:

  

Name :

 

Phone Number :

  (  )  -    

Extension:

  


If hired can you work nights and weekends?

  Yes    No 

How did you find out about us ?

  


        *Required
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ROYAL CLEANING SERVICE, INC. 153 W 27th STR NEW YORK, NY 10001 PHONE: 212.242.1774 TOLL-FREE: 866.769.2550
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