First Name

Middle Name

Last Name

Email

Cell Phone

Birthdate

Country

State

City

2. Experience & Education

What kind of cleaning jobs have you done? What kind of cleaning jobs have you done? Residential House Cleaning Hotel cleaning Office Cleaning Hospital Cleaning Commercial Cleaning

How many years of paid cleaning work experience do you hace? How many years of paid cleaning work experience do you hace? None Less than a year 1 to 2 Years 2 to 3 Years 5+ Year

How long did you work at your previous job? How long did you work at your previous job? Less than 3 months 3 to 6 months 1 - 2 years 3 - 5 years

What do you love about cleaning houses? What do you love about cleaning houses? Driving around town to different homes I stay physically active I´m good with people and pets I take pride in my work The money i can earn

What is your education level? What is your education level? GET or High School diploma Some college College diploma

Are you authorized to work in the US? Are you authorized to work in the US? Yes No

Social Security Number (SSN)

Do yoy have a valid Driver´s License? Do yoy have a valid Driver´s License? Yes No

Drive´s license number

Driver´s license state

Has your driver´s license ever been suspended? Has your driver´s license ever been suspended? Yes No

Do you have any felonies? Do you have any felonies? Yes No

Which work schedule are you applying for Which work schedule are you applying for Full time: 35+ hours week Part time: Less than 29 hours per week Flex schedule: I´d like to pick my own days Nights: Typically 5pm - 10pm Weekends Only

Are you available to work Monday - Friday 8:00 AM to 5:00 PM? Are you available to work Monday - Friday 8:00 AM to 5:00 PM? Yes No

Do you have a reliable vehicle to get to work Monday through Friday? Do you have a reliable vehicle to get to work Monday through Friday? Yes No

Would you have difficulty standing, bending or kneeling to perform necessary cleaning duties? Would you have difficulty standing, bending or kneeling to perform necessary cleaning duties? Yes No

Do you need any special accommodations to be able to perform the job? Do you need any special accommodations to be able to perform the job? Yes No

Are you afraid of dogs or cats Are you afraid of dogs or cats Yes No

Are you currently employed? Are you currently employed? Yes No

Do you clean houses for your own clients now? Do you clean houses for your own clients now? Yes No

When are you available to star working?

Do you plan to move out of the area within the next 12 months? Do you plan to move out of the area within the next 12 months? Yes No