Provider Application For House Cleaning
General Information
First Name
*
Last Name
*
City & State Where You Currently Reside
*
Available Start Date:*
Current Employment Status:*
Employed
Self-Employed
Unemployed
Student
Check all that applies
Email
*
Phone
*
Best Time To Call*
Morning
Afternoons
Evenings
Weekends
Check all that applies
Are You Fluent in English or Able To Hold a Conversation in English?
*
Yes
No
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Professional Information
Organization
Website
Do You Have a Cleaning Partner? If Yes, Please Put Down Their Name
*
Put N/A if you do not have a cleaning partner
How Many Clients Do You Currently Clean For?
*
How Much Would You Like To Work?
*
Ex: 30 hours per week
Hours Available Weekly?
*
Ex: 8am-5pm M-F
How Flexible Are Your Working Hours? Would You Be Available For Early Morning Or Late Night Shifts?
*
Are You Self Equipped To Take On Residential & Commercial Jobs?
*
Yes
No
Explain In Detail Your Paid Cleaning Experience
*
What Cleaning Companies Have You Cleaned For Previously? Please list them below
*
Will You Be Able to Provide 3 Professional Cleaning References and 3 Personal References?
*
Yes
No
Describe Why You can Be Considered a Cleaning Professional?
*
Is There Any Specific Task That You Don't Perform?
*
Have You Ever Used Green Cleaning Products? If Yes, How Would You Rate Them Compared to Products You've Traditionally Used?
*
Are You Authorized to Work in the US?
*
Yes
No
Do You Have a Valid Drivers License?
*
Yes
No
Do You Have Reliable Transportation?
*
Yes
No
Are You Bonded And Insured?
*
Insured
Bonded
Neither
Check all that applies
If You Are Not Insured, Will You Get It If Hired?
*
Yes
No
Please Tell Us About A Time You Went Above & Beyond For A Client
*
Please Tell Us About A Time You Had A Dissatisfied Client & How You Handled The Situation
*
Tell Us Something About Yourself
*
Do You Offer Any Other Services? If Yes, List Them Here
This is a 1099 contract position and not a W2 position.
*
I understand that I am responsible for my taxes and will be receiving a 1099 every year
Submit