NAE Cleaning Solutions
Preliminary Screening Form
Your Full Name
*
Your Email Address
*
City/State/Zip
*
Contact Phone Number
*
Alt Contact Phone Number
Birthdate
*
Sex (optional)
Male
Female
Do you have a smart phone?
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Yes
No
Are you available late nights?
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Yes
No
Do you have a valid drivers license?
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Yes
No
Do you own a vehicle?
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Yes
No
If yes, is that vehicle reliable?
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Yes
No
Are You A US Citizen Or Authorized To Work In The US?
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Yes
No
Do You Speak And Read English?
*
Yes
Some
No
Did Your Graduate High School?
*
Yes
No
GED
What Are Your Skills Or Experience In Professional Cleaning?
*
Please provide at least two work references(not friends and family). Include your job title, the reference's name, phone number, and your work relationship to them(i.e. manager, supervisor)
*
Are you willing to submit to a background screen and take a drug test? If so, will there be any issues?
*
I Have Answered All Questions Truthfully To The Best Of My Knowledge?
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Yes
No
Submit
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