Job application First Name Last Name Email Phone Number Street Adress Street Adress 2 City State or Province Postal code Do you have professional paid cleaning experience? Yes, I've worked for a company Yes, I have my own customers Yes, I've cleaned for both my own customers and with a company No, I do not have any professional cleaning experience How many years of paid experience do you have? 0 up to1 year 1-3 years 3-5 years 5+ years 10 years How many hours per week are you able to work 5 -10 hours 10- 20 hours 20- 30 hours 30- 40 hours Are you currently employed by a cleaning company as a maid or cleaner? Yes No Are you currently working as an independent contractor or subcontractor? Yes No Do you currently have paying customers for house cleaning? Yes No How many customers do you currently have? 0 1-5 5-10 10+ What experience do you have professionally cleaning? (Ex: I've work for Maid Company X from 1/17 - 3/18 or I started my own cleaning company in 2005) Do you have a Cleaning partner Yes No Which of the following do you have? Check all that apply. Smart Phone Car Valid Driver’s License Bank Account Cleaning Supplies Do you have Business General Liability Insurance? Yes No Are you legally able to work in the U.S Yes No This kitchen hasn't been cleaned in about a month. Please describe in bullet points how you would clean this room, and where necessary indicate what products you would use. Send