Full Name *

Email *

Phone *

Cleaning Experience *

• Less than 1 year
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Highest educational level completed? *

List your last two employers starting with the most recent and the reason you left. *

Are you interested in Part time or Full time? *

Part Time

Full Time

Either

Are you over the age of 18? *

YES

N0

Do you have any convictions that are unspent under the rehabilitation of offender’s act 1974? If yes, please give details/dates of offense(s) and sentence. *

Do you hold a full, clean driving license? *

Yes

No

Please give the names and phone numbers of two references and your relationship with them. *

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