Name *

First

Last

Email *

Phone Number *

Best Time To Call *

Mornings
Afternoons
Evenings
Weekends

Please check all that applies

City, State *

Available Start Date: (mm/dd/yyyy) *

Hours Available Weekly? *

Ex: 7AM-5PM Daily

How Much Would You Like To Work? *

Current Employment Status *

Employed
Self-Employed
Unemployed
Student

Do 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? *

Yes
No

If You Are Not Insured, Will You Get It If Hired? If No, Please Explain Why. *

Are You Authorized to Work in the US? *

Yes
No

Are You Fluent in English? *

Yes
No

Would You Pass a Criminal Background Check? *

Yes
No

Do You Have a Smartphone? *

Yes
No

Will You Be Able to Provide 3 Professional Cleaning References and 3 Personal References? *

Yes
No

Do 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: Furniture

Last But Not Least, Tell Us a Little Something About Yourself: *

Careers: Carpet Cleaning

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