Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have professional cleaning experience? *

Yes

No

When can you start? *

Immediately

Within 2 week

Longer than 2 weeks from now

Do you have your own car for transportation? *

Yes

No

Do you have car insurance? *

Yes

No

Do you have a valid drivers license? *

Yes

No

Can you pass a full background check? *

Yes

No

Can you provide proof of legal authorization to work in USA? *

Yes

No

Are you able to work full time or part time? *

Full Time (35+ hours)

Part Time (10+ Hours)

Do you have any allergies, asthma, or similar condition which would make it difficult to work with dust and fur? *

Yes

No

Are you able to preform the tasks associated with cleaning houses including, but not limited to: standing for 8 hours, walking up and down stairs, bending, kneeling, and lifting 50 pounds? *

Yes

No

Do you agree that we may run a background check, drug test, and check your prior employment history? *

Yes

No

Do you understand that any misrepresentation, omission, or falsification on this application will be grounds for immediate termination? *

Yes

No

Do you understand that we may add you to our employee FB group and also photograph you for our cool social media shoutouts? *

Yes

No