Clean & Glo Cleaning Services Partner PROGRAM APPLICATION
SYRACUSE NY AND SURROUNDING AREAS
Pre-Qualification Acknowledgement
You understand that you MUST have your own transportation and working cell phone at all times as a CBN Subcontractor
*
Yes
You understand that this is a Contractor position and NOT an employee position
*
Yes
You understand that you will be paid on a contract basis under this program?
*
Yes
You acknowledge that you understand that contractors do not get employee benefits (i.e. holidays off, medical insurance, overtime pay, etc.) and you are okay with that.
*
Acknowledge
Is your background clean? If not, please explain in the box provided
*
Yes
No (explain)
MOVE FORWARD TO THE APPLICATION
Subcontrator Application
Your Name
*
First Name
Last Name
Company Name
(If already established)
E-mail
*
The best email that you have that comes to your phone
Phone Number
*
Upload A Photo ID
Browse Files
Drag and drop files here
Choose a file
or turn it in once you get to training
Cancel
of
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Choose the cities you would most prefer to provide service in
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
City
Jacksonville
Jacksonville Beach
Ponte Vedra Beach
St. Johns
St. Augustine
Fernandina Beach
Orange Park
Yulee
Jacksonville
Jacksonville Beach
Ponte Vedra Beach
St. Johns
St. Augustine
Fernandina Beach
Orange Park
Yulee
Jacksonville
Jacksonville Beach
Ponte Vedra Beach
St. Johns
St. Augustine
Fernandina Beach
Orange Park
Yulee
Jacksonville
Jacksonville Beach
Ponte Vedra Beach
St. Johns
St. Augustine
Fernandina Beach
Orange Park
Yulee
Jacksonville
Jacksonville Beach
Ponte Vedra Beach
St. Johns
St. Augustine
Fernandina Beach
Orange Park
Yulee
Select the upcoming training date that you wish to attend
*
-
Month
-
Day
Year
Training sessions are usually 6pm. This is not a guaranteed date. We will contact you to confirm.
SUBCONTRACTOR CERTIFICATION
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Subcontractor Certification Fee
$
2,500.00
Add Starter Kit Supplies
Select this if you do not have CBN approved commercial supplies and equipment already
$
500.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
Submit
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