Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Mobile
*
E-mail
*
example@example.com
Referred By
First Name
Last Name
Date You Are Available to start Work from
*
-
Month
-
Day
Year
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Are you willing to take a drug test?
*
Yes
No
Do you have a valid driver's license?
*
YES
NO
Do you have:
*
White Card
Working With Children's Check
Police Check
Driver’s License
Working at Heights License
Any Other Licences - Please add/explain
Do you have any illness or injury that may affect your work in anyway?
*
Health & Medical Questionnaire
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
WORK HISTORY / EXPERIENCE
Please list your 3 most current work history/experience
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
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End Date
*
-
Month
-
Day
Year
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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
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End Date
-
Month
-
Day
Year
Date Picker Icon
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
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End Date
-
Month
-
Day
Year
Date Picker Icon
May we contact this employer? (please check one)
YES
NO
If NO, reason why not
YOUR CLEANING PROCESS
This kitchen has not been cleaned in two weeks. Please describe in bullet points how you would clean this room and the products you would use.
*
How would you dust a shelf with many knicknacks on it?
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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 $20 laying on a table with no note?
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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?
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Don't dust it. You don't want to damage it
Dust only the frame.
Dust the entire picture.
We DO NOT consider OR interview anyone who cannot provide 2 references (work or education related). NO FAMILY MEMBERS or FRIENDS.
Reference (1) Name
*
Reference (1) Telephone
*
Reference (2) Name
*
Reference (2) Telephone
*
Reference (3) Name
Reference (3) Telephone
False information will cause removal from our registry & consideration of future opportunities of employment.
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. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Bendigo Professional Cleaning Services, its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Bendigo Professional Cleaning Services policies, rules, and procedures. I understand that Bendigo Professional Cleaning Services reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me.
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