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Fulltime
Housekeeper & Cleaning Services
Application
First Name:
Last Name:
Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Home Phone:
Cell Phone:
Receive Text:
Yes
No
Other Phone:
Fax Number:
Email:
Referred By:
Type of Housekeeper:
Live in
Live out
Other
Start Date:
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year:
2012
2013
2014
2015
HOME DETAILS:
Size of home:
Small
Medium
Large
HOME with
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5+ Bedrooms
&
1 Bathroom
1.5 Bathrooms
2 Bathrooms
2.5 Bathrooms
3 Bathrooms
3.5 Bathrooms
Number of People in the household:
Age of all children in household under 18 years of age:
(example: boy-2yrs, girl-4yrs)
Number of pets:
Please provide details of pets:
(example: 1-dog, 2-cats)
Job Requirements:
(select all that apply)
Clean
Cook
Iron
Laundry
Child Care
Infant Care
Elderly Care
Driver
Special Requirements:
(select all that apply)
Bilingual
Own Car
Travel
Other
Salary you are willing to pay:
* Salary must be based on the rates outlined on the rates page. If the salary amount is less than the rates listed your application may be denied.
DAYS/HOURS REQUIRED:
(Must be at least 4 days)
FROM:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TOTAL DAYS PER WEEK:
DAYS/HOURS REQUIRED:
(Must be at least 4 hours per day)
Sunday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Tuesday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Thursday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Saturday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Monday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Wednesday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
Friday:
FROM:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TO:
12 am
1 am
2 am
3 am
4 am
5 am
6 am
7 am
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
9 pm
10 pm
11 pm
TOTAL HOURS PER WEEK:
TOTAL DAYS PER WEEK:
Comments:
Password:
* This will be used for you to gain access to your account
** Password must be at least 6 characters, and spaces are not allowed.
Password:
Confirm Password:
TERMS/CONDITIONS
A.Aventura Maid Services is a referral service company which finds applicants for employment. Those applicants will be qualified as closely as possible to the employer's request. The employer is responsible for interviewing all the prospective applicants, screening and making the ultimate decision to hire. A.Aventura Maids Services, charges a non- refundable fee to both the employer and the employee for its services. The application fee of $ 25.00 (twenty five) is payable to: Aventura Maid Services. The Employer services fee of $25.00 (Twenty five) is payable immediately at the time the employer agrees to interview and hire any of those applicants from A. Aventura Maid Services. The employee fee of one (1) week gross salary is payable in two parts from the fist day of the service. The first week of work will require half of the salary and the balance is required after the second week. In order to facilitate the payment of the employee's fee to A.Aventura Maid Services,the employer agrees and is responsible to withhold the employee's fee and promptly remit the payment to A .Aventura Maid Services on behalf of the employee. Although A Aventura Maid Services has notified the employee of the one week withholding, the employer should also notify the employee to avoid any confusion prior to hiring the individual. Should the employment be terminated .A.Aventura Maid Services will make it's best effort to replace the employee at no additional charge to the employer for (6 ) six month. A.Aventura Maid Services is not responsible for the acts, omissions or negligence of anyone the employer hires.
I accept the Terms and Conditions