Cathy's Cleaning Service™

Apply for work opportunities

Personal information

First name: MI: Last Name:
Street Address: Apt or Unit#:
City: State Zip:
Email Address:
Home phone: Cell phone:
Social Security Number (You must have one to work with us):

Personal status

Are you currently employed? yes no
If hired, when are you available to start?
Do you own a car? yes no What year is it?
Do you have a backup car to use? yes no What year is it?
Are you over 21? yes no If no, do you have a work permit? yes no
Do you have a criminal record? yes no

If so, please describe:

Availability

Monday	from:	to:
Tuesday	from:	to:
Wednesday	from:	to:
Thursday	from:	to:
Friday	from:	to:
What is the minimum number of hours you would like to work?

Application