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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Street Address
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Who referred you to our team?
Your answer
Do you have a valid driver's license?
*
Yes
No
If you answered no above, what do you need to do to get your license (be specific)?
Your answer
Do you have training or experience in any of the following? (Check all that apply)
Residential Cleaning
Commercial Cleaning
Construction Cleaning
Residential Cleaning Training:
Your answer
Years of Experience:
Your answer
Commercial Cleaning Training:
Your answer
Years of Experience:
Your answer
Construction Cleaning Training:
Your answer
Years of Experience:
Your answer
Which shift are you interested in working?
*
Day Shift (7:30am-4:00pm)
Night Shift (5:30pm-2:30am)
Education level (Check all that apply)
*
High School Diploma
GED
College Diploma
Grad School
Required
Are you able to lift 25 pounds?
*
Yes
No
Required
Are you able to climb stairs
*
Yes
No
Do you have computer experience/training? (Check all that apply)
*
Gmail
Excel
Word
Required
Describe your previous work experience:
*
Your answer
Do you have volunteer experience? (Describe)
Your answer
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