Employment Questionaire

1

Your Full Name* This field is required.

First Name

Middle Name

Last Name

Suffix

2

E-mail* This field is required.

3

Phone Number* This field is required.Enter the best number or us to reach you at.

Area Code

Phone Number

4

What City Do You Live In* This field is required.We will try to match you with a job opening near your home or your daytime job.

Please be specific i.e West Los Angeles, etc.

5

City Zip Code* This field is required.

6

SMART PHONE REQUIRED. Do you have a smart phone?* This field is required.You will be required to clock in, get task reminders and notifications in our company apps.

Yes, I have one

No, but I can buy one if hired

7

Do You Have Reliable Transportation?* This field is required.We want to know how you will get to work everyday.

Your Car

Friend or Family Member

Uber or Lyft

The Bus

8

How Far Are You Comfortable Traveling To Work?* This field is required.

Up to 5 Miles

Up to 10 Miles

Up to 20 Miles

9

Are You Over 21 Years Old?* This field is required.

Yes

No

10

Are You Able to Lift 30lbs?* This field is required.Trash bags and boxes can get heavy sometime.

Yes

No

11

What Shift Can You Work?* This field is required.Because the majority of our staff go to school or have a full time job we make our shifts 2-6 hours long.

Daytime (Anywhere from 8am-5pm)

Night (Anywhere from 5pm-9pm)

Night (Anywhere from 9pm-1am)

Any Shift Works

12

What Level Of Experience Do You Have?* This field is required.

None

Cleaning At Home

Professional Cleaning

13

Do You Have Any Other Field Related Experience?* This field is required.

Floor Care

Landscaping

Handyman

14

Besides extra money, tell us what will a part time job do for you personally?

Please do not submit your resume here. Thank you!

15

Enter the message as it's shown* This field is required.