HomeBlis.com - Service Provider Application

Please provide information about your Business and the services you offer in the next few steps.

Do you and your team members meet the below requirements ?

Position Requirements: Professional Experience 1. Must have previous experience with residential/commercial for the service you are applying for 2. Great attitude is a must 3. Must be very customer oriented 4. Must have great attention to detail 5. Willing to go above and beyond Hiring Requirements 6. Must be authorized to work in the United States 7. A criminal background check will be performed 8. Must be fluent in English 9. Must have mobile phone with text 10. Must have internet access on a daily basis 11. Must have vehicle in good condition

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Business Information

Official Name of Business/ Individual

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Type of Business Operation

Your Business structure

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Business Address

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Business Phone Number

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Number of Years in Business

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Number of permanent employees

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Number of temporary employees

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Business EIN or Personal Tax ID (SSN)

Tax ID

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Business Principals' information

Owner / Main Contact Name

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Owner / Main Contact Phone Number

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Owner / Main Contact Cell Phone Number

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Owner / Main Contact - Email Address

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Service Information

Please select the service(s) that you would like to provide through HomeBlis.

You must have the required licenses and permits for the trades that are regulated by the city or state you serve.

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Which locations do you serve?

Please specify City, State or County, State or Zip codes separated by commas

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Licensed and accreditations

Pleas provide the names and details of any licenses and accreditations you have . e.g. - TN state licensed for Weed and Fertilization spraying - Rated A+ on BBB etc

License / Accreditation 1

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License / Accreditation 2

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Insurance / Bond Information

Please provide insurance type with coverage amount

Insurance 1 : Type and Coverage amount

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Insurance 2 : Type and Coverage amount

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Work References & Background check

Please provide names and contact information for reference check

Reference 1: Name and Contact Information

Please provide Email and/or phone

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Reference 2: Name and Contact Information

Please provide Email and/or phone

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Other

If all requirements are met, will you provide us with Authorization for Background check?

We will send you a direct link to provide personal information to our partner to conduct a background check.

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HAVE YOU EVER BEEN CONVICTED OF A CRIME?

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If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation

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