Apply Now | Margaret McHenry Maids, Wichita, KS

Your Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Are you legally permitted to work in the United States?*

Yes
No

Are you 18 years of age or older?*

Yes
No

Position(s) Applying For*

Pay Requirements (Per Hour, Month or Year)*

If necessary for the job, I am able to work (mark all that apply)*

Overtime
Saturdays
None

Are you able to provide a valid driver’s license?*

Yes
No

Issuing State

Driver’s License Number

Expiration Date

Are you English/Spanish bilingual?*

Yes
No

How did you hear about Margaret McHenry Maids?

Do you know someone who does or who has worked here?

Yes
No

What is their name?

Have you ever pleaded guilty, no contest, or been convicted of a felony?*

Note: Answering “yes” does not constitute an automatic rejection for employment. The date of offense, seriousness and nature of the violation, and rehabilitation will be considered.

Yes
No

Education

Please select the last grade you completed*

Employment History

Please list your previous employment, beginning with the most recent or your current employer. Provide all details as failure to complete this portion of the application may disqualify you from being considered for employment.

Most Recent/Current Employer

Employer Name

Position

Employer Address

Street Address Address Line 2 City State ZIP Code

Employer Phone

Employment Start Date

Employment End Date

Ending Salary

Supervisor

Responsibilities (be specific)

Reason(s) for leaving

May we contact the employer?

Yes
No
Later

Employer #2

Employer Name

Position

Employer Address

Street Address Address Line 2 City State ZIP Code

Employer Phone

Employment Start Date

Employment End Date

Ending Salary

Supervisor

Reason(s) for leaving

Responsibilities (be specific)

May we contact the employer?

Yes
No
Later

Employer #3

Employer Name

Employer Address

Street Address Address Line 2 City State ZIP Code

Position

Employer Phone

Employment Start Date

Employment End Date

Ending Salary

Supervisor

Reason(s) for leaving

Responsibilities (be specific)

May we contact the employer?

Yes
No
Later

References

Please provide three references to whom you are not related that we may contact to consider you for a position.

Reference #1

Name

Daytime Phone

Relationship

Reference #2

Name

Daytime Phone

Relationship

Reference #3

Name

Daytime Phone

Relationship

Applicant’s Statement

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal employment, education, criminal conviction records, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

It is the policy of Margaret McHenry Maids to be an equal opportunity employer and to hire and promote individuals solely upon the basis of their qualifications for the position to be filled. I understand that nothing in this application, or in any prior subsequent written or oral statement, creates a contract of employment or any rights in the nature of a contract. I agree and understand that if I am hired by Margaret McHenry Maids (MMM), my employment will be at-will, for an indefinite period of time, and may be terminated at any time, with or without cause or notice, at the option of MMM or myself. I understand that I have the right to end my employment at any time and that MMM retains that same right.

In the event that I am employed by Margaret McHenry Maids, I understand that false or misleading information given in my application or interview may result in discharge.

We thank you for applying for a position with Margaret McHenry Maids. If we require an interview, we will contact you at the phone number you have provided on this application.

Please select the following:*

I accept the Margaret McHenry employment agreement
I do not accept.

Note: Selecting “I accept” and submitting this application signifies you agree to the applicant statement.

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Your Information

Education

Employment History

Most Recent/Current Employer

Employer #2

Employer #3

References

Reference #1

Reference #2

Reference #3

Applicant’s Statement

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