Service Provider Application
Please complete this form to apply as a service provider. All fields are required for consideration.
Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Website
https://yoursite.com
Service Address
Legal Business Name
*
What Type of Cleanings can you Complete?
Residential Cleaning
Commercial Cleaning
Move in/out Cleaning
Office Cleaning
Apartment Turnovers
Post-Construction Cleaning
Other
Number of Years of Experience
Business Size and Capabilities
*
Number of Staff
*
References & Referrals
*
Rows
Name
Relationship
Phone
Email
Reference 1
Reference 2
Reference 3
Do you have liability insurance?
*
Yes
No
Insurance File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
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Do you have reliable transportation?
*
Yes, I have my own vehicle
Yes, I have someone else drive me
No, I do not have reliable transportation
Do you own your own cleaning kit?
*
Yes
No
What Materials do you keep in your kit?
Mop & Bucket
Broom
Vacuum Cleaner
Carpet Shampoo
Steam Cleaner
Microfiber Cleaning Cloth
Paper Towel
Extendable Duster
Toilet Brush
Detailing Brush
Shower Brush
Sponges
Disposable Gloves
All Purpose Cleaner
Floor Cleaners
Toilet Bowl Cleaner
Stainless Steel Cleaner
Degreaser
Furniture Polish
Soft Cleaner
Bleach Spray
Shower Cleaner
Glass Cleaner
Mold & Mildew Killer
Contractor Agreement
Submit Application
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