Welcome to Helping Hands

If you are interested in a career with Helping Hands Maid Service®, please print and fill out the following form. When completed please Attach Resume and Fax to 905-937-7573.

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Helping Hands Maid Service
Employee Application Form

Name: _______________________________________________
Address:______________________________________________
Telephone:_____________________________________________

BACKGROUND
a) Do you have any allergies that could effect your ability to perform the work required?

Yes ____ No ___
If yes, please specify: __________________________________
___________________________________________________
___________________________________________________

(b) Do you have training or any previous job experience that qualifies you
for the job of a residential cleaner? Yes:___ No:___
If yes, please specify:____________________________________
____________________________________________________
____________________________________________________
(c) Are you bondable? Yes:___ No:___

PERSONAL REFERENCES
Please give the names of two people for whom you have worked:
1. Name of Employer or company:_________________________
Type of business:______________________________________
Address:_____________________________________________
Position: _____________________Telephone________________
Length of time employed:_________________________________

2. Name of Employer or company:__________________________
Type of business:_______________________________________
Address:_____________________________________________
Position: _____________________Telephone________________
Length of time employed:_________________________________

EMPLOYMENT RECORD
Name of Employer:______________________________________
Address:______________________________________________
Telephone_____________________________________________
Position and Duties: _____________________________________
_____________________________________________________
Final Salary: _______________ Reason for leaving: _____________
_____________________________________________________

Salary Desired: ____________
Hours/Days Requested____________________________

The facts set forth in my application are true and complete. I undestand that if I am hired, any false statements on this application shall be considered sufficient cause for discharge or legal action.

Signature of applicant:_______________________________
Date:____________________________________________

TO BE COMPLETED UPON HIRING
Date of Birth:______________________________________
Social Insurance Number:_____________________________
Health Insurance Number: ____________________________
Drivers License Number:_____________________________

Person to Notify in case of accident or emergency:
Name:___________________________________________
Relationship:______________________________________
Address:_________________________________________
Telephone:_______________________________________