First & Last Name *

Street Address *

City *

State *

Postal code *

Email *

Phone Number *

Are you currently employed? *

Are you applying for: *

What type of cleaning experience do you have? *

Do you have housekeeping experience? *

How many years of experience do you have?

If you worked for a cleaning company, which company was it?

Do you own or have access to reliable transportation? *

Are you authorized to work in the United States? *

What is your availability? *

Are you able to pass a background check? *

Will you pass a drug test?

Do you own a smartphone? *

Do you have internet access? *

What do you enjoy about cleaning? *

What do you think are the most important skills for a housekeeper to possess? *

How well do you work independently? *

How well do you work with a partner? *

How did you hear about homemaid? *

Are there any experiences or information that you would like us to know about? *

What is the best time to reach you for an interview? *