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Your Information

Full Name

Phone Number

Address

Referred By

Are you legally eligible to work in the U.S?

Yes

Are you willing to take a drug test?

Yes

Work History / Experience

Last or Current Employer

Employer Phone Number

May we contact this employer?

Yes

Do you have your own vehicle with trunk space?

Yes

Can you provide a brief overview of your experience working in housekeeping or related roles?

Specific skills and abilities do you possess that make you well-suited for this position?

Are you hoping to be a 1099 contractor or employee?

1099 Contractor

Employee

Do you have any clients you clean for currently?

Yes

Do you work with any other cleaning companies or did you in the past?

Yes

Do you have any additional skills or training relevant to housekeeping that you would like to highlight?

References

We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or church related). NO FAMILY MEMBERS.

Reference (1) Name

Reference (1) Email

Reference (1) Phone Number

Reference (2) Name

Reference (2) Email

Reference (2) Phone Number

Reference (3) Name

Reference (3) Email

Reference (3) Phone Number

Hours

Sun	Mon	Tue	Wed	Thur	Fri	Sat
Closed	7AM - 6PM	7AM - 6PM	7AM - 6PM	7AM - 6PM	7AM - 6PM	Closed

Phone

Address