Cleaning Job Application Form

Cleaning Job Application

E-mail*

Application Date*

MonthDayYear

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Day Time Phone*

Area CodePhone Number

Referred By

First NameLast Name

Date You Are Available to To Work*

MonthDayYear

Are You Legally Eligible to Work in the U.S.? *

Are you willing to take a drug test? *

Do you have a valid driver's license?*

How Many Hours Do You Want to Work Per Week?*

What Days Are You Most Interested in Working? *

What Times of Day Are You Most Interested In Working?*

Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner*

Employer's Name (Most current)*

Position Held*

Supervisor's Name*

Telephone*

Area CodePhone Number

Reason for Departure*

Duties*

Start Date*

MonthDayYear

End Date*

MonthDayYear

May we contact this employer? (please check one)*

If NO, reason why not

(2) Employer's Name

Position Held

Supervisor's Name

Telephone

Area CodePhone Number

Reason for Departure

Duties

Start Date

MonthDayYear

End Date

MonthDayYear

May we contact this employer? (please check one)

If NO, reason why not

(3) Employer's Name

Position Held

Supervisor's Name

Telephone

Area CodePhone Number

Reason for Departure

Duties

Start Date

MonthDayYear

End Date

MonthDayYear

May we contact this employer? (please check one)

If NO, reason why not

This kitchen has not been cleaned in two weeks. Please describe in bullet points how you would clean this room and the products you would use.*

How would you dust a shelf with many nicknacks on it?*

What is the procedure in general for cleaning any room in a house?*

What would you do if there was a $20 bill laying on a table with no note?*

How do you dust a picture on the wall that has no glass? *

Reference (1) Name*

Reference (1) Telephone*

Area CodePhone Number

Reference (2) Name*

Reference (2) Telephone*

Area CodePhone Number

Reference (3) Name*

Reference (3) Telephone*

Area CodePhone Number

Do you have or are you able to acquire your own cleaning products and equipment before being placed on the registry? r*

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Type Signature*

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