Please note that "*" denotes a required field.

Which Job Are You Applying For? *

Personal Information

First Name *
Last Name *
Email *
Phone *
Social Security *
Drivers Lic # *
Date of Birth *
Address *
City *
State *
Zip Code *

Employment Details

Are you employed? *
Have you applied with us before? *
Have you ever worked with us? *
Do you have reliable transportation? *
Can you legally work in the USA? *
When can you start? *

Employment Experience

Please state the names of your present and all previous employers in chronological order for the last 5 years. If you have been self-employed, or are currently self-employed, please give the name of your firm, company or operations.
Previous employer details
Previous employer details
Previous employer details
Previous employer details
Previous employer details
Previous employer details
Have you ever been convicted of a felony? *
(NOTE: An individual will not be denied employment solely because of a felony conviction, but all circumstances must be considered)
If you have been convicted of a felony please provide details.
Highest education completed? *


Please provide 3 references who are unrelated to you. Include the name, contact number and the type of reference (personal or professional)
Reference 1
Reference 2
Reference 3

Pre-employment Requirements

I agree to be Drug/Alcohol Tested *
Your Desired Salary? ($0.00/hour) *
You will be required to work weekends. Please type your full name to acknowledge that you understand and agree. *

Certification By Applicant

I hereby authorize NOLA Maid Cleaning LLC. (hereinafter “NOLA Maid”) and its representatives, agents, employees or designees to contact my current or any previous employer for the purpose of requesting any and all information concerning my previous employment and any pertinent information which they may have concerning my employment. I also authorize NOLA Maid and its employees, agents, representatives, and designees to investigate all statements contained in this application for employment decision. I further authorize all present and former employers, along with the personal references listed in the application to give NOLA Maid, its employees, agent, representatives and designees’ any and all information concerning my previous employment with said employers.

I understand that NOLA Maid requires certain applicants to undergo a post-offer, pre-employment physical examination, functional capacity testing and drug test as a condition of employment. I hereby give my consent to any such test or examination and consent to the release of the results of any such test or examination to NOLA Maid. I understand that information provided to NOLA Maid may be disclosed.

I understand that the submission of this application for employment to NOLA Maid does not create a promise of employment or the creation of an employment contract or a term of employment. I understand that if I become employed with NOLA Maid that any employment relationship with NOLA Maid will be of an “at-will” nature. This means that I, as an employee, have the right to resign at any time with or without cause and with or without prior notice. I further understand that this “at-will” employment relationship may not be changed by anything anyone tells me or by any written document or conduct or representation unless I am provided and execute a written employment contract signed by the president of NOLA Maid.

I understand that in submitting this application that it will considered active for no more than one year. If I intend to be considered for employment thereafter, I must reapply for a position with NOLA Maid. I understand that false information, information that NOLA Maid considers to be misleading, or the failure to provide a complete response to any question, whether on this application or in an interview with NOLA Maid’s representative(s), will disqualify me from further consideration for employment. I understand also that if NOLA Maid subsequently determines, after I am hired, that I either failed to provide necessary information, provided misleading information, provided false information, this determination should be satisfactory reason for NOLA Maid to terminate my employment.

I certify that all information stated in this application is true and complete. I have read and understand the foregoing statement contained in this section entitled “Certification by Applicant.”

Certification by Applicant *
I certify that all information stated in this application is true and complete.

Please tell us how you heard about the job.

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