NAE Cleaning Solutions Online Application

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? *

Yes No
Are you available mornings? *

Yes No
Are you available evenings? *

Yes No
Are you available late nights? *

Yes No
Do you have a valid drivers license? *

Yes No
Do you own a vehicle? *

Yes No
If yes, is that vehicle reliable? *

Yes No
Are You A US Citizen Or Authorized To Work In The US? *

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, family, co-workers) Supervisors, managers, etc. only. 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? *

Yes No
Should be Empty:

NAE Cleaning Solutions