Keynote Application Form

Full Name *

First Name Last Name

E-mail

example@example.com

Application Date *

Month Day Year

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Day Time Phone *

E-mail *

example@example.com

Referred By

First Name Last Name

Date You Are Available to To Work *

Month Day Year

Are You Legally Eligible to Work in the U.S.? *

Yes No

Do you have a valid driver's license? *

YES NO

How Many Hours Do You Want to Work Per Week? *

0-10 10-20 20-30 30-40 40+

What Days Are You Most Interested in Working? *

Weekdays Weekends

What Times of Day Are You Most Interested In Working? *

Mornings Afternoons Evenings

Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner *

Employer's Name (Most current) *

Position Held *

Supervisor's Name *

Telephone *

Reason for Departure *

Duties *

Start Date *

Month Day Year

End Date *

Month Day Year

May we contact this employer? (please check one) *

YES NO

If NO, reason why not

(2) Employer's Name

Position Held

Supervisor's Name

Telephone

Reason for Departure

Duties

Start Date

Month Day Year

End Date

Month Day Year

May we contact this employer? (please check one)

YES NO

If NO, reason why not

(3) Employer's Name

Position Held

Supervisor's Name

Telephone

Reason for Departure

Duties

Start Date

Month Day Year

End Date

Month Day Year

May we contact this employer? (please check one)

YES NO

If NO, reason why not

This kitchen has not been cleaned in two weeks. Please descibe in bullet points how you would clean this room and the products you would use. *

How wood you dust a shelf with many knicknacks on it? *

Dust the shelf and clean around the nicknacks. Remove the nicknacks, dust the shelf and line the nicknacks up. Remove the nicknacks, dust them and place them back as they were.

What is the procedure in general for cleaning any room in a house? *

Work your way in a circle cleaning everything, top to bottom, as you go. Clean up to down working your way around so not to miss anything. Clean the more difficult areas first and the easier areas last.

What would you do if there was a $20 bill laying on a table with no note? *

Take the money as a tip. Ask the client if it is meant for you. Leave it where it is. You don't know if it was meant for you.

How do you dust a picture on the wall that has no glass? *

Don't dust it. You don't want to damage it Dust only the frame. Dust the entire picture.

Reference (1) Name *

Reference (1) Telephone *

Reference (2) Name *

Reference (2) Telephone *

Reference (3) Name *

Reference (3) Telephone *

Click Here to Upload Your Resume

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Type Signature *

Enter the message as it's shown *

We Need Keynote Cleaning Professionals!

WORK HISTORY / EXPERIENCE

YOUR CLEANING PROCESS

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

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