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Proud Partner C4R
Upon employment you are offered medical, dental, vision, life ins, beginning day 1
You must have your own vehicle to work for Maid 4 Hire. Valid Drivers Licence
All of our employees are Bonded and thorough background checks completed
Our pay rate is $8-10 per hour plus .50 per mile, Plus Bonus, Tips.
Insured & Bonded
Professional Cleaning
Maid 4 Hire Residential/Commercial Cleaning Services
1350 Buffalo Rd. Suite 11 Rochester, NY 14624
Office: 585-235-3038
Fax: 585-235-3043
   Service Area:                                                                 Senior Citizens:
Monroe & Ontario Counties                                           Ask About a 15% Discount
All applicants who apply with us will receive consideration for employment without regard to race,
color, religion, sex, pregnancy, age, marital status, national origin, physical or mental handicap. The
information on this application form is requested in order to help us make the best possible
placement with Maid 4 Hire.

Our Company subscribes to a DRUG FREE WORK PLACE. You may be required to submit to a
drug screen as part of your initial application process. All portions of our application pertaining to
you must be completed in order for you to be considered for employment. It is the intent of Maid
4 Hire to keep all information we receive during any background investigation private and
confidential.
First Name
Last Name
MI
Street Address:
City:
St:
 Zip:
Phone #
Email Address:
Date Of Birth:
 Yr:
Social Security:
* Your Information is kept Private
Position Applying For:
 Desired Pay:
How did you hear of this opening:
Have you ever worked for Maid 4 Hire before:
Yes
No
Are you looking for Full-Time Or Part-Time:
 What Hours?
Have you ever been convicted of a felony:
Yes
No
If Yes, Please Explain:
Do You Have Experience:
Yes
No
 Type Of Experience:
Do You have your own Car:
Yes
No
 Drivers License#:
Please tell us about your previous Job...
Company Name:
Full Address:
Phone #
 Your Position:
Supervisor:
 Reason for leaving:
1. Reference Name:
 Phone Number
2. Reference Name:
Phone Number
3. Reference Name:
 Phone Number
I certify that the facts set forth in this application for employment are true and complete
to the best of my knowledge. I understand that if I am employed, false statements on
this application shall be considered sufficient cause for dismissal. This company is hereby
authorized to make any investigations of my prior educational and employment history. I
understand that employment at this company is "at will," which means that either I or
this company can terminate the employment relationship at any time, with or without
prior notice, and for any reason not prohibited by statute. All employment will continue
on that basis. I understand that no supervisor, manager, or executive of this company,
other than the president has the authority to alter the foregoing.
Your Full Name:
Today's Date: