EMPLOYMENT APPLICATION
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Your Home Zip Code
*
Street Address
Street Address Line 2
City
Postal / Zip Code
Age
*
Are you legally authorized to work in the U.S.?
*
Yes
No
I understand this is a 1099 independent contractor role and I am responsible for my own taxes.
*
Yes
No
Are you able to pass a background check if required?
*
Yes
No
What languages do you speak (check all that apply):
*
English
Spanish
Polish
French
Other
Available start date:
*
-
Month
-
Day
Year
Date
Education
What is the highest level of education you have completed?
*
High school diploma or GED
Some college or trade school
Associate degree
Bachelor’s degree
Graduate or professional degree
Most Recent Jobs
Employment History for the Last 3 Years (If Applicable)
Company Name 1
*
Job Title
*
Dates Worked
*
Job Responsibilities (Briefly describe your main responsibilities in your most recent job)
*
Reason for Leaving
*
Company Name 2
Job Title
Dates Worked
Job Responsibilities (Briefly describe your main responsibilities in your most recent job)
Reason for Leaving
Company Name 3
Job Title
Dates Worked
Job Responsibilities (Briefly describe your main responsibilities in your most recent job)
Reason for Leaving
What type of work have you done that is related to cleaning?
*
Availability
What days and times are you generally available to work?
Reason for Applying
Why are you currently looking for work?
Resume (Optional)
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