Office Management Services Employment Application

  1. { binding displayValue, mode=oneTime }

OMS, Inc. is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, religion, color, national origin, sex, age, disabillity, veteran status or any other prohibited basis. No question on this application is intended to secure information to be used for such discrimination.

Applicant Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Schedule

Hours are part-time and are scheduled between the hours of 5pm to 12pm, based on the actual client's schedule.
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{# pageNumbers}

Employment History

Start with the most recent / current employer.

Employer {binding ItemNumber}

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Supervisor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

Reference {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{# pageNumbers}

Education

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Emergency Contact(s)

Contact {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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This area is reserved for comments you wish to make that is/are not covered in the application. This section is optional.
I acknowledge by my signature that I have read and understand the above.
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{# pageNumbers}

Office Management Services Employment Application

Office Management Services Employment Application

OMS, Inc. is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, religion, color, national origin, sex, age, disabillity, veteran status or any other prohibited basis. No question on this application is intended to secure information to be used for such discrimination.

Applicant Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
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Can you legally work in the U.S.? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Do you have a legal and current driver's license and insurance? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Do you have an automobile? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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If chosen, when are you available to start? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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If you have any physical limitations, please explain. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Schedule

Are you able to work during our scheduled hours of operation? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If NO, when are you available? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you able to work additional hours if needed? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If YES, which days and time frame(s) would you be willing to work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employment History

Employer {binding ItemNumber}

Business Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Supervisor {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Business Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Are you currently employed here? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Position(s) Held {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Please summarize special skills and qualifications relevant to working as a house cleaner. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Pay Rate Upon Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Reason for Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

Reference {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Business Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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May we contact this reference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Education

Highest level of education? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Trade School(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Certificate(s) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Emergency Contact(s)

Contact {binding ItemNumber}

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Additional Comments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I acknowledge by my signature that I have read and understand the above.
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}