Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Best Time To Call *MorningsAfternoonsEveningsWeekendsPlease check all that appliesCity, State *Available Start Date: (mm/dd/yyyy) *Hours Available Weekly? *Ex: 7AM-5PM DailyHow Much Would You Like To Work? *Current Employment Status *EmployedSelf-EmployedUnemployedStudentDo You Have a Cleaning Partner? If Yes, Please Put Down Their Name: *How Flexible Are Your Working Hours? Would You Be Available For Early Morning or Late Night Shifts? *Are You Insured? *YesNoIf You Are Not Insured, Will You Get It If Hired? If No, Please Explain Why. *Are You Authorized to Work in the US? *YesNoAre You Fluent in English? *YesNoWould You Pass a Criminal Background Check? *YesNoDo You Have a Smartphone? *YesNoWill You Be Able to Provide 3 Professional Cleaning References and 3 Personal References? *YesNoDo You Have a Reliable Transportation? Do You Have Your Own Car And Valid Driver's License and Insurance? *Do You Have The Supplies And Equipment To Do The Job? *Describe in Detail Your Paid Carpet Cleaning Experience. How Many Years of Professional Carpet Cleaning Experience Do You Have? What Carpet Cleaning Companies Have You Worked For, If Any? *Describe Why You Can Be Considered a Carpet Cleaning Professional? *Are There Any Specific Circumstances Where You Will Not Perform The Cleaning Task? *Is There Anything Else That You Can Clean Besides Carpet? *Ex: FurnitureLast But Not Least, Tell Us a Little Something About Yourself: *WebsiteSubmit