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First Name
Last Name
Email
Phone Number
Street Address
Street Address 2
City
State or Province
Country
Do you have professional paid cleaning experience?
Yes, I've worked for a company
Yes, I have my own customers
Yes, I've cleaned for both my own customers and with a company
No, I do not have any professional cleaning experience
How many years of paid experience do you have?
0-1 year
1-3 years
3-5 years
5+ years
10 years
How many hours per week are you able to work?
5-10 hours
10-20 hours
20-30 hours
30-40 hours
Are you currently employed by a cleaning company as a maid or cleaner?
Yes
No
Are you currently working as an independent contractor or subcontractor?
Yes
No
How many customers do you currently have?
0
1-5
5-10
10+
What experience do you have professionally cleaning? (Ex: I've work for Maid Company X from 1/17 - 3/18 or I started my own cleaning company in 2005) *
Do you have a Cleaning partner
Yes
No
Which of the following do you have? Check all that apply.
Smart Phone
Car
Valid Driver’s License
Bank Account
Cleaning Supplies
Do you have Business General Liability Insurance?
Yes
No
Are you legally able to work in the U.S
Yes
No
How far are you willing to drive to complete a cleaning? Please, list a max driving time from your location or describe the general areas you're willing to travel to.
A kitchen hasn't been cleaned in about a month. Please describe in bullet points how you would clean this room, and where necessary indicate what products you would use.
Do you consent to a background check? Mark only one oval
Yes
No
Have you ever been convicted of a crime? Mark only one oval.
Yes
No
If yes, please explain
SUBMIT
