T.L.C. Home Services LLC.

                                                                                                                           Application for Employment

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We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally protected basis, including, but
not limited to, race, age, color, religion, sex, national origin, citizenship, ancestry, physical or mental disability, veteran status, or any
other legally protected basis.

Personal Information

Previous Address (If less than 5 years at current address)

According to the Massachusetts Reference Chart Regarding Permissible Inquiries, 3.02:

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Previous Employment

List below your last three employers, starting with your present or last place of employment. You may include in such history any
verified work performed on a volunteer basis.

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Additional Info

We supply all cleaning products.

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