Cleaning Job Application
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Full Name
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Day Time Phone
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Area Code
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Referred By
First Name
Last Name
Date You Are Available to To Work
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Are You Legally Eligible to Work in the U.S.?
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Yes
No
Are you willing to take a drug test?
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Yes
No
Do you have a valid driver's license?
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YES
NO
How Many Hours Do You Want to Work Per Week?
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0-10
10-20
20-30
30-40
40+
What Days Are You Most Interested in Working?
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Weekdays
Weekends
What Times of Day Are You Most Interested In Working?
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Mornings
Afternoons
Evenings
Please Describe Your Cleaning Experience and What Makes You a True Professional Cleaner
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Employer's Name (Most current)
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Position Held
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Supervisor's Name
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Telephone
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Area Code
Phone Number
Reason for Departure
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Duties
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Start Date
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Month
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Day
Year
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End Date
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Month
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Day
Year
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May we contact this employer? (please check one)
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YES
NO
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone
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Area Code
Phone Number
Reason for Departure
Duties
Start Date
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Month
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Day
Year
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End Date
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Year
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May we contact this employer? (please check one)
YES
NO
If NO, reason why not
(3) Employer's Name
Position Held
Supervisor's Name
Telephone
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Area Code
Phone Number
Reason for Departure
Duties
Start Date
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Month
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Day
Year
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End Date
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Day
Year
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May we contact this employer? (please check one)
YES
NO
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.
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How would you dust a shelf with many nicknacks on it?
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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.
What is the procedure in general for cleaning any room in a house?
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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.
What would you do if there was a $20 bill laying on a table with no note?
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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.
How do you dust a picture on the wall that has no glass?
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Don't dust it. You don't want to damage it
Dust only the frame.
Dust the entire picture.
Reference (1) Name
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Reference (1) Telephone
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Area Code
Phone Number
Reference (2) Name
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Reference (2) Telephone
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Area Code
Phone Number
Reference (3) Name
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Reference (3) Telephone
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Area Code
Phone 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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Yes, I already have my own equipment and supplies.
No, but I am acquire my own equipment and supplies before being placed on the registry.
No
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