Short Form Application

Salutation: Mr.,Mrs,.etc.

Name

Email Address

Phone Number

Is this a cell? Yes/No

Text Message enabled?: Yes/No

City

State

Zip Code

Do you have a valid driver's license?: Yes/No

Do you have auto insurance?: Yes/No

Have you ever cleaned before?: Yes/No

How many years have your worked?

Do you have experience with Eco-friendly cleaning products?: Yes/No

Can you provide references from those you have worked for?: Yes/No

Are you willing to take a background check?: Yes/No

Are you willing to take a drug test?: Yes/No

Are you eligible to work in the United States?: Yes/No