Cleaners For Seniors Professional Cleaner Application

Name

First NameLast Name

Birth Date

MonthDayYear

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How were you referred to us?

Do you have any professional house cleaning experience? (We train the right people.)

When can you start?

Do you have a reliable transportation?

Do you have current car insurance?

Do you have a valid driver's license?

Can you pass a background check, get fingerprinted, and pass a drug test?

Can you provide proof of legal authorization to work in the USA?

Can you work full-time (5 days a week) or part-time ( 3 days a week)?

If part-time, do you prefer 2 days a week or 3 days a week?

Do you have any allergies, asthma, or similar condition which would make it difficult to work with dust and fur?

Do you agree that Cleaners For Seniors may run a background check, drug test, and check your prior employment history.

Last Employment & Reason for Separation

Please indicate the name of your last employer, contact information, job title and description of your duties. Don't worry - We will not call until after the interview.

Prior Employment & Reason for Separation

Please indicate the name of your last employer, contact information, job title and description of your duties. Don't worry - We will not call until after the interview.

Do you understand employment with Cleaners For Seniors is "at will" and does not guarantee any specific time period?

Do you understand that any misrepresentation, omission, or falsification on this application will be grounds for immediate termination?

Motivation Letter - Our company values are hard work, compassion, honesty.

How would you support Cleaners for Seniors if you join the team?

Work Reference

Please list one reference that are familiar with your work life.

Reference

Professional House Cleaner Application