Cleaner Application Form
Rio Green Cleaning
Personal information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Work Experience
Have you worked as a cleaner before?
*
Yes
No
Availability
Are you available To Work Monday-Friday 09:00AM-05:00PM?
*
Yes
No
Are you available for emergency or last minute cleaning Jobs?
*
Yes
No
Skills and Qualifications
Do you have any specific cleaning Skills or Qualifications?
*
Yes
No
Please Specify
Are you comfortable working with cleaning Chemical and Equipment?
*
Yes
No
Do you have a valid driver's license and reliable transportation?
*
Yes
No
Background and Check insurance
Are you willing to undergo a background check?
*
Yes
No
Do you have general lability insurance?
*
Yes
No
Please provide a proof of insurance:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
References
Please provide two professional references.
References 1
Name
*
Relationship
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
References 2
Name
*
Relationship
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Acknowledgement and Signature
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Your Application Now
Submit Your Application Now
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