2616 41st St, Moline, IL 61265
trishak21@yahoo.com
Maid For You
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309-764-2003
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Application for Employment
Are you employed now?
Yes
No
What shifts are you available?
Full Time (30-40 hrs/wk)
Part Time (15-25 hrs/wk)
What shifts are you available?
Yes
No
Are you able to work holidays?
Yes
No
Are you available to work weekends?
Yes
No
Can you perform the essential functions of the job(s) for which you are applying?
Yes
No
Mode of Transportation
Bus
Ride
Own Car
Have you ever been convicted of a felony? (Please note that a “Yes” answer will not bar you from consideration for employment.)
Yes
No