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CAROLINA STEAM APPLICATION FOR EMPLOYMENT

SECTION I.
Date: Position Desired:
Name: Email: Phone:
Previous Address: How Long?
Current Address: How Long?
Social Security Number Number of Children: Ages:
SECTION II. BECAUSE OF FEDERAL LAW, ANSWERS TO QUESTIONS IN SECTION II ARE VOLUNTARY AND NOT REQUIRED FOR EMPLOYMENT.
Date of Birth: Place of Birth: Marital Status:
Weight: Height: Race: Sex:
Spouse's Name: Spouse's Occupation:
SECTION III.
Do you have any hour limitations for working? If so, what?
Do you have any health problems? Condition of health?
Whom should we notify in case of accident:
Their phone number: Relationship:
Amount of overnight travel acceptable:
SECTION IV.
Have you had any past experience in the commercial or residential cleaning field?
If so, please describe:
SECTION V. PAST EMPLOYMENT - START WITH MOST RECENT EMPLOYMENT:
A. Past Employment:
How long? Salary: Phone:
Describe your job/responsibilities:
What did you enjoy most about the position?
What did you enjoy least?
B. Past Employment:
How long? Salary: Phone:
Describe your job/responsibilities:
What did you enjoy most about the position?
What did you enjoy least?
C. Past Employment:
How long? Salary: Phone:
Describe your job/responsibilities:
What did you enjoy most about the position?
What did you enjoy least?
SECTION VI. LIST REFERENCES
Name: Address: Phone:
Name: Address: Phone:
Name: Address: Phone:
Name: Address: Phone:
SECTION VII. EDUCATION/SKILLS
Highest level of education obtained:
Other (Specify):
CAREER AIMS/PERSONALITY ASSESSMENT
Career Aims (What qualifications, abilities, and strong points will help you to succeed in this position?

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