Market Leading Housekeeping/Janitorial Services Company serving the entire Riverbend area (East Alton, Alton, Wood River, Godfrey, Granite City, Edwardsville, Hartford, Grafton, Bethalto, et.al., ) and now celebrating our 28th year in business as a family owned company, is seeking experienced housekeepers for part time day, evening, residential and commercial cleaning positions. We pay very competitive wages to individuals who can demonstrate a reliable track record of employment in the housekeeping area with a minimum of two years experience. As a family owned company, we reward reliable employees who stay with us long term with favorable hours and wages. If you are interested, apply now!! We can use you. Please complete the application asap.

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AMERICAN MAID C.S., LLC
APPLICATION FOR EMPLOYEMENT

PRE-EMPLOYEMENT QUESTIONNAIR - EQUAL OPPORTUNITY EMPLOYER
Position Desired Salary Required/Hr Available Date

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

APPLICANT’S STATEMENT
I understand that this application will be given every consideration, but is not a promise of employment.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with or without notice, and the Company has the same right. No one other than the Owner of the Company has the authority to modify this relationship or to make any agreement to the contrary. Any such modification of this agreement must be in writing.

I understand that the Company reserves the right to require me to submit to a medical examination, including a drug/alcohol test, prior to employment and at any time during my employment, to the extent permitted by law. I also understand that I may be required to take other test such as personality and honesty test, prior to employment and during my employment.

I understand the Company may investigate my driving record and my criminal record and that an investigative consumer report may be prepared whereby information is obtained through personal interviews with my neighbors, friends and others with whom I am acquainted or know me. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records pertinent to my employment with them. In addition to authorizing the release of any information regarding employment. I herby fully waive any rights or claims I have or may have against my former employers their agents, employees and representatives, as well as other individuals who release information to the Company, and release them from any and all liabilities, claims or damages that may directly or indirectly result from the use, disclosure or release of any such information by any person or party weather such information is favorable or unfavorable to me.

I herby state that all of the information that I provide on this application and in any interview is try and accurate. I understand that if I am employed and any such information is later found to be false in any respect, I may be dismissed.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT ___________________________________________________
Signature of Applicant

PERSONAL DATA
Last Name First Name Middle Initial Social Security Number Telephone Number

Other Names Alternate Telephone Number

Present Address

City State Zip How Long at Present Address?

Previous Address

City State Zip How Long at Previous Address?

Are you 18 years or older? Yes No Date of Birth: _______________________________

Have you every worked for AMCS before? Yes No If yes, please give dates_________________________

Do you have any friends or relatives working here? Yes No If yes, Name:_________________________________

Do you have a means of transportation that will allow you to consistently arrive at work on time? Yes No

Do you have a valid drivers license? Yes No _________________________________________

License No. State Exp. Date

Can you provide proof of auto insurance? Yes No

Do you currently have any disability, medical condition, handicap, or disease that would prevent you from standing continually for periods up to 5 (five) hours, lifting items up to50 (fifty) pounds, or allergic to any cleaning chemicals? Yes No If yes, Explain:_______________________________

Are you legally eligible for employment in the U.S.? Yes No

Have you ever been convicted of a felony or a misdemeanor other than a minor traffic violation? Yes No If yes, Explain:_______________________________

Do you smoke? Yes No
If yes, would you work in a non-smoking environment? Yes No

EDUCATION
Elementary High School College/University Graduate/Professional

School Name

Years Completed (circle) 4 5 6 7 8 9 10 11 12 1 2 3 4 1 2 3 4
Diploma or Degree Yes No Yes No Yes No Yes No

Major: Major:

EMERGENCY CONTACT

In case of an accident or other emergency, who should we contact?

Name: ___________________________________________________________ Relationship:______________________________________

Address: _________________________________________________________ Telephone:________________________________________

_________________________________________________________

CHARACTER REFERENCES

Please list persons who know you well – Not previous employers or relatives
Address Phone Years

Name Occupation (Street, City and State) Number Known

REFERRAL

Who referred you to this company? (circle one)

Newspaper Walk-In Building Sign Friend:_____________________________ Other:____________________________

I CERTIFY THAT ALL OF THE INFORMAITON THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND
ACCURATE.

____________________________ _______________________________________________________
Date Signature of Applicant

RECORD OF PREVIOUS EMPLOYEMENT

Please list he names of your previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give firm name and supply business references.
Name of Present or Last Employer Employed Pay (per hour rate) Your Title or Position Reason for Leaving
From (Mo/Yr) Start
$
Address

City, State, Zip To (Mo/Yr) Final Name of Supervisor
$

Telephone

Previous Employer Employed Pay (per hour rate) Your Title or Position Reason for Leaving
From (Mo/Yr) Start
$
Address

City, State, Zip To (Mo/Yr) Final Name of Supervisor
$

Telephone

Previous Employer Employed Pay (per hour rate) Your Title or Position Reason for Leaving
From (Mo/Yr) Start
$
Address

City, State, Zip To (Mo/Yr) Final Name of Supervisor
$

Telephone

May we contact your current employer? Yes No If no, please give explain_______________________________________

Hours Available to Work

Monday Tuesday Wednesday Thursday Friday Saturday Sunday'
'
Frequency needed:

• Daily

Setting:

• Residential
• Industrial
• Office Building

Hours per week:

• 10-19

Pay Frequency:

• Bi weekly or Twice monthly

Typical end time:

• 3PM

Typical start time:

• 9AM

Work Remotely

• No

Job Type: Part-time

Pay: $13.00 - $17.00 per hour

Schedule:

• 4 hour shift
• 8 hour shift
• Day shift
• Night shift
• On call
• Weekend availability

COVID-19 considerations:
We follow all CDC guidelines

Ability to commute/relocate:

• East Alton, IL 62024: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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