Employment Application - Cleaning Services

1
Full Name* This field is required.
First Name
Last Name
2
E-mail
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
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Other
Country
4
Day Time Phone* This field is required.
Area Code
Phone Number
5
E-mail* This field is required.
6
Referred By
First Name
Last Name
7
Date You Are Available to To Work* This field is required.
Date
Month
Day
Year
8
Are You Legally Eligible to Work in the U.S.? * This field is required.
Yes
No
9
Do You Have Dependable Transportation* This field is required.
YESNO
10
How Many Hours Do You Want to Work Per Week?* This field is required.
0-10
10-20
20-30
30-40
40+
11
What Days Are You Most Interested in Working? * This field is required.
Weekdays
Weekends
12
What Times of Day Are You Most Interested In Working?* This field is required.
Mornings
Afternoons
Evenings
13
Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner* This field is required.
14
Employer's Name (Most current)* This field is required.
15
Position Held* This field is required.
16
Supervisor's Name* This field is required.
17
Telephone* This field is required.
Area Code
Phone Number
18
Reason for Departure* This field is required.
19
Duties* This field is required.
20
Start Date* This field is required.
Date
Month
Day
Year
21
End Date* This field is required.
Date
Month
Day
Year
22
May we contact this employer? (please check one)* This field is required.
YES
NO
23
If NO, reason why not
24
(2) Employer's Name
25
Position Held
26
Supervisor's Name
27
Telephone
Area Code
Phone Number
28
Reason for Departure
29
Duties
30
Start Date
Date
Month
Day
Year
31
End Date
Date
Month
Day
Year
32
May we contact this employer? (please check one)
YES
NO
33
If NO, reason why not
34
(3) Employer's Name
35
Position Held
36
Supervisor's Name
37
Telephone
Area Code
Phone Number
38
Reason for Departure
39
Duties
40
Start Date
Date
Month
Day
Year
41
End Date
Date
Month
Day
Year
42
May we contact this employer? (please check one)
YES
NO
43
If NO, reason why not
44
This kitchen has not been cleaned in two weeks. Please descibe in bullet points how you would clean this room and the products you would use.* This field is required.
45
Image Field
46
How wood you dust a shelf with many knicknacks on it? * This field is required.
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.
47
What is the procedure in general for cleaning any room in a house?* This field is required.
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.
48
What would you do if there was a $20 bill laying on a table with no note?* This field is required.
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.
49
How do you dust a picture on the wall that has no glass? * This field is required.
Don't dust it. You don't want to damage it
Dust only the frame.
Dust the entire picture.
50
Reference (1) Name* This field is required.
51
Reference (1) Telephone* This field is required.
Area Code
Phone Number
52
Reference (2) Name* This field is required.
53
Reference (2) Telephone* This field is required.
Area Code
Phone Number
54
Reference (3) Name* This field is required.
55
Reference (3) Telephone* This field is required.
Area Code
Phone Number
56
Type Signature* This field is required.
57
Application and Acknowledgement Date* This field is required.
Date
Month
Day
Year
58
Enter the message as it's shown* This field is required.
Should be Empty: