We Need Cleaning Professionals!
All information obtained in this form will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
E-mail
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Application Date
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Month
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Day
Year
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Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
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Mongolia
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Montserrat
Morocco
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Nepal
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Palestine
Panama
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Poland
Portugal
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Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
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Samoa
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eSwatini
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Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Tonga
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Trinidad and Tobago
Tristan da Cunha
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Turkey
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United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Day Time Phone
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Area Code
Phone Number
How did you hear about us?
Craiglist
Facebook
Google
Indeed
Friend
Other
If you are referred by a person, please submit name and last name below:
First Name
Last Name
Date You Are Available to To Start Working
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Month
-
Day
Year
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Do You Have Previous Housekeeping or Residential Cleaning Experience?
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Yes
No
Are You Legally Eligible to Work in the U.S.?
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Yes
No
Are You at Least 18 Years Old?
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Yes
No
Are You Able to Pass a Background Check?
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Yes
No
Do you have a valid driver's license?
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YES
NO
Do you have reliable transportation?
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YES
NO
Do you have a smartphone?
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YES
NO
How Many Hours Per Week Would You Like to Dedicate Working for CleanUp?
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0-10
10-20
20-30
30-40
40+
What Days Are You Most Interested in Working? (Mark all that apply)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What Times of Day Are You Most Interested In Working?
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Mornings
Afternoons
Evenings
WORK STATUS/ REFERENCES
Please list your current employer, if applicable, and 3 non-related references
Are you currently employed somewhere?
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YES
NO
Employer's Name
Position Held
Supervisor's Name
Telephone
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Area Code
Phone Number
Start Date
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Month
-
Day
Year
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May we contact this employer? (please check one)
YES
NO
If NO, reason why not
Are you planning to stay with your current employer while working at CleanUp?
YES, I plan to keep my current job while working at CleanUp
NO, I intend to use CleanUp as my only source of income
We DO NOT consider OR interview anyone who cannot provide 3 references (work, education or personal). NO FAMILY MEMBERS.
Reference (1) Name
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Reference (1) Telephone
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-
Area Code
Phone Number
E-mail
example@example.com
Reference (2) Name
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Reference (2) Telephone
*
-
Area Code
Phone Number
E-mail
example@example.com
Reference (3) Name
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Reference (3) Telephone
*
-
Area Code
Phone Number
E-mail
example@example.com
OTHER QUESTIONS
How would you describe your cleaning habits?
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Clean Freak!
Pretty Tidy
Don't care too much about cleaning but don't mind doing it
How do you feel about being your own boss and managing your own schedule?
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My ultimate professional goal and I am sure I can be good at it
Sounds good but I am not sure if i can be good at it
I work better with the support of a management team/leader
What are your views on customer services and getting excellent reviews?
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My number one priority
Important but not a priority
Don't really care/know much about it, I can benefit from some guidance on this topic
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
Do you have or are you able to acquire your own cleaning products and equipment before being placed on the registry?
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Yes, I already have my own equipment and supplies
No, but I am acquiring my own equipment and supplies before being placed on the registry
No, I don't have any equipment and/or supplies
If you answered yes to the question above, please mark the cleaning tools you have available to complete a cleaning job:
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Broom
Dust Pan
Mop
Bucket
Vacuum
Toilet Brush
Spray Bottles
Scrub Brushes
Sponges/rags
I don't have any cleaning tools
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