Personal Info

First Name *

Last Name *

Phone

Email *

Date of birth

(Optional)

Address

Street Address

City

State

Country

Postal code

Labor Experience

How many years of paid cleaning experience do you have? *

0 to 1 year

1–3 years

3-5 years

+5 years

How many hours a week are you available to work? *

10-20 hours

20-30 hours

30-40 hours

Are you currently working on your own as an independent contractor or subcontractor? *

Yes

No

Are you currently working for a cleaning company as a cleaner or maid? *

Yes

No

Do you currently have paying house cleaning clients? *

Yes

No

How many clients do you currently have?

0

1-5

5-10

10+

What’s your professional cleaning experience? *

(Example: I worked for Maid Company X from 1/17 to 3/18, or I started my own cleaning business in 2015)

Do you have a cleaning partner? *

Yes

No

Do you have general liability insurance for your cleaning services? *

Yes

No

Are you legally allowed to work in the U.S.? *

Yes

No

How did you hear about us? *

This kitchen hasn’t been cleaned in about a month. Please describe in bullet points how you would clean this room and, if needed, list the products you would use. *

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