Maid 4 Home
Professional Cleaner Application Form
PERSONAL INFORMATION:
Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
QUALIFICATION:
Do you have a valid driver's license?
*
Yes
No
Do you own or have access to a car?
*
Yes
No
Can you legally work in the US?
*
Yes
No
Do you have business liability insurance?
*
Yes
No
No, but I am willing to get it.
Do you have your own equipment and supplies? If yes, please specify.
*
Yes, I have my own cleaning supples
No, but I'm willing to acquire them
No, and I don't want to get equipment
If yes, please list supplies & equipment
House cleaning can be tiring. Do you feel confident that you can continuously bend, kneel, twist, and lift 20 lbs. consistently throughout the day?
*
Yes! I can perform consistently at my best!
I'm not sure
EXPERIENCE:
How many years of PAID PROFESSIONAL cleaning experience do you have?
*
Less than 1 year
1 - 3 years
3 - 5 years
More that 5 years
What type of cleaning experience do you have? Check all that apply.
*
Residential cleaning
Commercial cleaning
Hotel housekeeping
Cleaning for family and friends
Move in / move out cleaning
Private client cleaning
Janitorial cleaning
I do not have any cleaning experience
Where would you say MOST of your cleaning experience comes from?
*
Residential cleaning
Hotel housekeeping
Move in / move out cleaning
Janitorial cleaning
Commercial cleaning
Cleaning for family and friends
Private client cleaning
I do not have any cleaning experience
Are you currently cleaning on your own? If so, how many clients do you have?
*
Yes
No
# clients
Do you work solo or with a team? If with a team, please list their names:
*
Solo
Team
Team members
Please describe your past cleaning experience
*
Cleaning Scenario:
What is your process to clean a floor?
*
Sweep around items, then mop
Lift up items, sweep or vacuum, then mop
How many towels/rags do you use per room?
*
I only use papar towels
4 - 5 for the whole house
2 - 3 per room, depending on how dirty
Explain how you would clean a 2 bedroom 2 bathroom home.
*
The picutre above: Describe how you would clean this if it were messy, and what products you would use?
*
How do you handle missing a deadline or falling behind schedule?
*
How do you keep track of your task and responsibilities to ensure that you meet all deadlines?
*
How would you handle last-minute changes or unexpected events in your schedule?
*
How would you handle being asked to take on a task or project that you aren't familiar with?
*
Give an example of a time when you had to take responsibility for a mistake or error.
*
REFERNCES:
Can you provide 2 cleaning references (name and phone number)?
Title / Name / Phone Number
Title / Name / Phone Number
How did you hear about us?
*
Indeed
Facebook
Referral
Other:
Referral / Other
Signature
*
Print Name
*
Date
*
/
Month
/
Day
Year
Date
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