Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com
417 NE 2nd Ave
Hallandale Beach, FL 33009
 
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Employment Application

                       
First Name: Last Name: Birthday:  
                     
Address: City: State:  Zip:
  Home Phone:   Cell Phone:   Receive Text:  Yes No  
Other Phone:     Email:
                     
  Position(s) Interested in: Live in Live out  Both          
             
You are A USA Citizen USA Resident Visitor Other   
                       
Time in the United States   
                       

Have you ever been convicted of a felony or misdemeanor? Yes No
    If yes, please provide a date and a brief description of conviction(s):
                       
   HOURS AVAILABLE:
Sunday:   
FROM: TO:
Tuesday:   
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Saturday:   
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Monday:   
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Wednesday:   
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Friday:   
FROM: TO:
                       
  Willing to and able to: (select all that apply)      
  Clean Cook Iron Laundry Child Care Infant Care Elderly Care      
                       
  Skills/Experience: (select all that apply)      
  Clean Cook Iron Laundry Child Care Infant Care Elderly Care      
                       
  Employment Reference 1:                   
  Contact Name:    Phone:             
Description: 
   
   
   
   
                       
  Employment Reference 2:                   
  Contact Name:    Phone:             
Description: 
   
   
   
   
                       
  Employment Reference 3:                   
  Contact Name:    Phone:             
Description: 
   
   
   
   
                       
   
     
                       
   
                       
 
Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com


417 NE 2nd Ave
Hallandale Beach, FL 33009