Cleaning Job Application Form

Connecting Experienced Professionals With Excellent Opportunities In The Cleaning Industry!

We appreciate your interest in partnering with us. All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
Today's Date

MonthDayYear
Date
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth

MonthDayYear
Date
Phone Number*
Format: 000-000-0000.
E-mail*
example@example.com
Referred By

First NameLast Name
YESNO
YesNo
Less than 6 monthsLess than 1 yearMore than 2 yearsMore than 5 years
Regular CleaningDeep CleaningPost Construction CleaningVacation Rental/ Airbnb cleaning turn overOffice CleaningProfessional OrganizationCarpet CleaningPressure Washing
EnglishSpanishPortugueseFrench
Date You Are Available to To Work

MonthDayYear
Date
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Please let us know your areas of operation! Please be specific naming each city you are available to service.
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
Please Describe Your Cleaning Experience and What Makes You a Professional Cleaner*
Company or Client's Name (Most current)*
Telephone*

Area CodePhone Number
Which services did you perform?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
YESNO
If NO, reason why not
(2) Company or Client's Name*
Telephone*

Area CodePhone Number
Which services did you perform?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
YESNO
If NO, reason why not
(3) Company or Client's Name
Telephone

Area CodePhone Number
Which services did you perform?
Start Date

MonthDayYear
End Date

MonthDayYear
YESNO
If NO, reason why not
Anything else you'd like to share?
We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.
Reference (1) Name*
Reference (1) Telephone*

Area CodePhone Number
Reference (2) Name*
Reference (2) Telephone*

Area CodePhone Number
Reference (3) Name*
Reference (3) Telephone*

Area CodePhone Number
False information will cause removal from our registry.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if this company at anytime learns of falsification or material omission in the information provided on this application form and related documents. You may contact my former employers and/or affiliates. All references are hereby authorized to release all information which they may have relevant to my employment/affiliation with them. I hereby release SouthEagle Cleaning Services LLC® , its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I have never been convicted of a felony and I have no criminal charges pending against me.
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Connecting Experienced Professionals With Excellent Opportunities In The Cleaning Industry!

WORK HISTORY / EXPERIENCE

We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.

False information will cause removal from our registry.