Job Seekers

Name (Nombre) *

First Name

Last Name

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Home address (Direccion) *

Address 1

Address 2

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Address ( Direccion de Empleo)

Address 1

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Phone (Numero telefonico de Empleo) *

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Address (Direccion)

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Address 2

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I certify that the answers given by me to the questions contained in this application and statements made by me, are complete and true to the best of my knowledge and belief. I understand that any false information, material omissions or misrepresentations of facts requested in this application may result in rejection of my application or termination at any time.

I understand that Bella Mia Maids is a smoke and drug free workplace and that I may not work under the influence of alcohol, drugs, chemicals or other controlled substances. I also understand that I may be required to submit to examinations that test for such substances if I am involved in a work related accident.

I authorize Bella Mia Maids and/or any of its agents, at any time before and during my employment to conduct reference checks, driving records, criminal back ground checks and other consumer report investigations for consideration or continuation of my employment.

I understand that all offers of employment require satisfactory proof of my identify and legal authority to work in the United States.