Independent Contractor Information
Please fill out all fields completely and hit the submit button. Someone from our team will be in touch with you shortly.
Your Full Name
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First Name
Last Name
Phone Number
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E-mail
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Address
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Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
When can you start?
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-
Month
-
Day
Year
If you are hired, when can you start work?
Driving is a requirement for the job. Is your license valid?
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Yes
No
Has your drivers license ever been suspended?
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Yes
No
Do you have full time access to your vehicle?
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Yes
No
Is your vehicle in good and safe mechanical condition?
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Yes
No
Is your vehicle currently insured?
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Yes
No
Are you able to submit verification of your legal right to work in the US?
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Yes
No
Have you ever been convicted of a criminal offense?
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Yes
No
Would you have difficulty standing, lifting, bending down, or kneeling in connection with performing necessary cleaning duties?
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Yes
No
What days of the week are you available to work? Check all that Apply.
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you currently employed?
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Yes
No
Which of the following job categories have you held?
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Housekeeping
Hotel
Restaurant
Fast Food
Janitorial
Sales
Homemaker
Manufacturing
Service Provider
Other
WORK EXPERIENCE
List your last three employers, starting with your present or most recent place of employment. You may include in such history any verified work performed on a volunteer basis.
Name of most recent / current employer:
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Name of most recent employer:
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Name of most recent employer:
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EDUCATION
Please fill out all fields completely.
High School Attended (Include City and State):
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Did you graduate from high school?
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Yes
No
College Attended (Include City and State):
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Did you graduate from college?
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Yes
No
Upload Documents
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Browse Files
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Include a copy of your Drivers License, Resume, and a professional photo to use on the companies website.
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Bio of Yourself:
*
Before we give you a call, please provide us with a bio of yourself along with an explanation of why you would make a good addition to our team.
How Did Your Hear About Us?
*
If you were recommended by one of our team members please provide us with their name. Unless you hear of us from: Word of Mouth, Nextdoor, The Junior League of Austin, etc.
Please verify that you are human
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