Cleaning Services Confidential Employee History Form

Please complete all sections of this form accurately and honestly. Provide detailed information in each section as requested. Your privacy and confidentiality are of utmost importance. All information provided will be kept strictly confidential and used solely for employment-related purposes.

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Personal Information

Field	Information
Name:
Date of Birth:
Social Security No.:
Address:
Email:
Phone Number:

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Employment History

Previous Employer	Positions Held	Dates of Employment	Reason for Leaving

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Education

Education Level	Schools Attended	Degrees Earned	Major/Area of Study

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References

Name	Position	Contact Info

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Emergency Contact

Field	Information
Name
Relationship
Contact Info

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Acknowledgment

I hereby certify that the information provided in this form is true, accurate, and complete to the best of my knowledge. I understand that any false statements or omissions may have consequences, including but not limited to disciplinary action if discovered later.

[Employee's Name]

Date: [Month Day, Year]

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Thank you for completing the form. If you have any questions or concerns, please do not hesitate to contact us at [Your Company Email] or [Your Company Number]. We are here to assist you.

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