210 S Bonham St, Amarillo, TX 79106-8242
(806) 236-3000
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If under 18, please list age
Position Applied For:
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Date Available
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How many hours can you work weekly?
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Can you work nights?
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No
Days/Hours
Monday
Available
Number of hours
Tuesday
Available
Number of hours
Wednesday
Available
Number of hours
Thursday
Available
Number of hours
Friday
Available
Number of hours
Saturday
Available
Number of hours
Sunday
Available
Number of hours
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
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Yes
No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Do you give consent for Peeples Professional Cleaning Service to conduct a criminal background check?
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Yes
No
DO YOU HAVE A DRIVER'S LICENSE?
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Yes
No
What is you means of transportation to work?
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Have you had any accidents during the past three years?
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Yes
No
How many?
Have you had any moving violations during the past three years?
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Yes
No
How many?
EMPLOYMENT HISTORY
List complete employment history, including self-employment and periods of unemployment, from most recent to least.
EMPLOYMENT 1
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 2
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 3
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 3
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 4
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 5
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
EMPLOYMENT 6
Employer
Date Employed From (Mo./Yr.):
Date Employed To (Mo./Yr.):
Starting Position
Last Position
Other Position
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
Last Supervisor:
Duties in position:
Starting Salary/Wage:
Final:
Reason for Leaving:
Email
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