Cleaning Job Application Form

E-mail
example@example.com
Application Date

MonthDayYear
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Day Time Phone
E-mail
example@example.com
Referred By (If Applicable)

First NameLast Name
Date You Are Available to To Begin Work

MonthDayYear
Are you legally eligible to work in the U.S.?

YesNo
Are you a US citizen?

YesNo
Have you ever been convicted of a felony?

YesNo
If yes, please explain
If asked, would you consent to a background check?

YesNo
Do you have a valid driver's license and your own vehicle?

YesNo
How many hours do you want to work per week?

0-1010-2020-3030-4040+
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
Please describe your experience and what makes you a true professional cleaner
Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YesNo
(2) Employer's Name
Position Held
Supervisor's Name
Telephone
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YesNo
(3) Employer's Name
Position Held
Supervisor's Name
Telephone
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YesNo
YOUR CLEANING PROCESS
This kitchen has not been cleaned in two weeks. Please describe how you would clean this room and the products you would use.
How would you dust a shelf with many knicknacks on it?

Dust the shelf and clean around the nicknacks.Remove the nicknacks, dust the shelf and line the nicknacks up.Remove the nicknacks, dust them and place them back as they were.
What is the procedure in general for cleaning any room in a house?

Work your way in a circle 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 dust a picture on the wall that has no glass?

Don't dust it. You don't want to damage itDust only the frame.Dust the entire picture.
We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.
Reference (1) Name

First NameLast Name
Reference (1) Telephone
Reference (2) Name

First NameLast Name
Reference (2) Telephone
Reference (3) Name

First NameLast Name
Reference (3) Telephone
DISCLAIMER

The applicant understands that this is an Equal Opportunity Employer who is committed to excellence through diversity. In order to ensure the application is acceptable, please complete the application completely in order for it to be considered.
I, the applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
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WORK HISTORY / EXPERIENCE

YOUR CLEANING PROCESS

We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.

DISCLAIMER