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Application for Employment

204 S. College Ave Unit C1, Cheyenne WY 82007 (307)-421-3131 | (970) 631-3755

Name:

Date:

Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Email Address:

Date of Birth:

Position for which you are applying:

Full-Part Time

Full-Time

Part-Time

How did you hear about this position:

Please give a brief explanation of your availablility:

What is your desired wage?

Date you can start:

Please answer the following questions to the best of your knowledge:

Do you have a valid driver’s license?

Yes No

Do you have reliable transportation?

Yes No

Can you provide proof of current insurance?

Yes No

Are you an American citizen?

Yes No

Have you ever been convicted of a crime?

Yes No

Are you physically able to perform typical cleaning tasks such as bending, lifting up to 50lbs, kneeling, standing, and getting dirty?

Yes No

If no, please explain

At That Extra Touch, we believe we are not only creating beautiful environments, we are also providing an experience for our clients. Please explain what this means to you:

That Extra Touch employees are entrusted with the property and possessions of valued clients. Are you willing to accept the responsibility that entails?

Yes No

Do you have any allergies to cleaning products or household pets?

Yes No

If yes, please explain:

Are you willing to take a drug test and background check as part our employment process?

Yes No

Please list previous employers below (Include company name, phone number, years of experience, and reason for leaving):

Please list 3 professional references, including phone number and relationship (no family or friends, please):

Signature:

Date:

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204 S. College Drive, Unit C1 Cheyenne, WY 82007 (307) 421-3131

204 S. College Drive, Unit C1
Cheyenne, WY 82007
(307) 421-3131
(970) 631-3755

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