Cleaning Job Application Form-DuKane

Want To Join Our Team?

All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin. We can't wait to hear from you!
E-mail*
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Date of Birth
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Day Time Phone*

Area CodePhone Number
Referred By

First NameLast Name
Not applicable
Date You Are Available To Start Work*

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

YesNo
Are you able to pass a background check?*

YesNo
If no, please explain.
Do you have a valid driver's license?*

YESNO
Do you have reliable transportation?*

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

0-1010-2020-3030-4040+
What Days Are You Most Available to Work? (Select All That Apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What Times of Day Are You Most Available to work? (Select All That Apply)*

Mornings 8am-11amAfternoons 12pm-5pmEvenings 6pm-10pm or later
Any additional information we should know about your schedule and availability? We will add you to our work schedule based exactly on the hours selected above, so be as precise as possible.*
WORK HISTORY / EXPERIENCE

Please list ONE of your most current work history/experience
Please describe the rolls you played in your last job and why you think they would benefit you with DuKane Cleaning Services*
Employer's Name (Most current)*
Position Held*
Reason for Departure*
What was your favorite thing about this position?*
What was your least favorite thing about this position?*
Telephone*

Area CodePhone Number
Start Date*

MonthDayYear
End Date*

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

YESNO
If NO, reason why not
YOUR CLEANING PROCESS
How would you clean a cluttered counter?*

Leave the clutter and clean around it.Remove the objects, clean the counter, and place the objects back in a clutter.Remove the objects, clean the counter and place them back in an organized manner.
What is the procedure in general for cleaning any room in a house?*

Work your way left to right 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 clean a shower?*

Give it a quick wipe down, without removing any objects.Take out all objects, thoroughly wiping off walls, edges, and fossette/shower head. Then replacing objects.Only wipe down the bottom of tub.
Reference (1) Name*
Reference (1) Telephone*

Area CodePhone Number
False information will cause removal from our registry.

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 DuKane 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 DuKane Cleaning Services® policies, rules, and procedures. I understand that DuKane 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.
Type Signature*
Should be Empty: