First Name

Last Name

Phone *

Email *

Section 1

1. Are you legally authorized to work in the United States? *

Yes

No

2. Do you have a valid drivers license? *

Yes

No

3. Do you have reliable transportation to travel between jobs? *

Yes

No

4. Is your vehicle insured? *

Yes

No

Section 2

5. How many months or years of professional cleaning experience do you have?

Less than 6 months

6–12 months

1–3 years

Option 3

6. Have you ever worked as an independent contractor or 1099 cleaner before?

Yes

No

7. Are you comfortable working independently without on-site supervision?

Yes

No

8. Have you ever been late or missed a scheduled cleaning in the last 6 months?

Yes (Please explain)

No

Please explain

9. Which types of cleaning do you have experience with? (Select all that apply)

Residential homes

Short-term rentals / Airbnb

Move-in / Move-out

Commercial / office spaces

10. Are you comfortable following detailed cleaning checklists and client-specific instructions?

Yes

No

11. Are you willing to take before-and-after photos of your work when required?

Yes

No

12. If a client reports an issue after a cleaning, how do you typically handle it? (Short answer – 1–3 sentences)

13. What days are you generally available to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

14. What time window do you prefer?

Mornings

Midday

Evenings

Flexible

15. Are you available for weekend or short-notice cleanings when needed?

Yes

No

Occasionally

16. Why are you interested in working with our cleaning company? (Short answer)

17. Which best describes you?

I prefer clear systems and structure

I prefer flexibility and independence

I can work well with both

18. Are you comfortable being paid per job or flat-rate rather than hourly?

Yes

No

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