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Skitterblink Cleaning Positions
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* Indicates required question
Job Position
*
For which position are you applying?
Choose
Cleaner
Supervisor (must have a car)
Name
*
Enter your name
Your answer
Surname
*
Enter your surname
Your answer
Gender
*
Select your gender
Male
Female
ID Number
*
Enter your ID number
Your answer
Cellphone Number
*
Enter your cell number
Your answer
Email
Enter your email address
Your answer
Street Number and Name
Enter your street name and number
Your answer
Suburb
Enter which suburb you stay in
Your answer
City
Enter which city you stay in
Your answer
Age
Enter your age
Your answer
Drivers License
Do you have a drivers license
Yes
No
Clear selection
Trousers Size
Choose the size of your pants
Choose
32
34
36
38
40
42
Home Language
*
What is your home language?
Choose
Afrikaans
English
Ndebele
Northern Sotho
Sotho
Swazi
Tsonga
Tswana
Venda
Xhosa
Zulu
Secondary Language
What is your secondary language?
Choose
Afrikaans
English
Ndebele
Northern Sotho
Sotho
Swazi
Tsonga
Tswana
Venda
Xhosa
Zulu
Qualifications
Enter you highest education/grade completed
Your answer
Abilities
Choose what abilities you can do
Cleaning
Ironing
Child Care
Cooking
Other:
Health
Choose your health condition
Exellent
Good
Fair
Poor
Clear selection
Pregnant (if applicable)
Are you pregnant when you submitted this form?
Yes
No
Clear selection
Criminal Offence
*
Have you ever been convicted of a criminal crime?
Yes
No
Ref 1: Contact Name
Enter the name of the person where you have previously worked
Your answer
Ref 1: Contact Number
Enter the contact number of the person where you have previously worked
Your answer
Description
Describe the type of work you have done at Reference 1
Your answer
Declaration
*
...
Yes - I hereby declare that the information submitted was done by myself and is true and correct
Required
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