Application form


Full-Time & Part-Time

Experience, Knowledge and Skill

Housekeeping experience preferred

Specialized or Technical Education Required

None required

Manual or Physical Skill Required

Must be able to write legibly, have very good vision, be able to measure cleaning chemicals, and able to do manual labor (mopping, sweeping, etc.).

Physical Efforts Required

Strength: Light; Push: Constantly; Pull: Constantly; Carry: Often; Lift: Occasionally; Sit: Occasionally; Stand: Constantly; Walk: Constantly


Personal Information

*All below fields are required.

Referral Information

*All below fields are required.

Placement Information

*All below fields are required.


High School

*All below fields are required.


Graduate School

Vocational School/ Other

Certifications / Licenses

License 1

License 2

License 3

License 4

Skills & Qualifications

Employment History

Current Employer

Previous Employer 1

Previous Employer 2


*All below fields are required.

Reference 1

Reference 2

Reference 3

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