Page 1 of 1

Cleaning Contractor Application

Thank you for your interest in joining our cleaning team. Please complete the application below carefully.

STEP 1 — PERSONAL INFORMATION SECTION

Full Name

Phone Number

Email Address

Home Address

City

Date of Birth

STEP 2 — WORK INFORMATION SECTION

Do you have cleaning experience?

Do you have cleaning experience?

What type of cleaning experience do you have?

What type of cleaning experience do you have?

Years of experience

Do you have transportation?

Do you have transportation?
A
B

Do you have your own cleaning supplies?

Do you have your own cleaning supplies?
A
B

Areas you can work in

Areas you can work in

STEP 3 — AVAILABILITY SECTION

Days Available

Days Available

Preferred Working Hours

Preferred Working Hours

STEP 4 — IDENTIFICATION SECTION

Please upload a valid government-issued ID.

Background Check Authorization

“I authorize the company to conduct a background check and verify the information provided in this application. I understand that false information may result in disqualification.”

“I authorize the company to conduct a background check and verify the information provided in this application. I understand that false information may result in disqualification.”

Independent Contractor Agreement

I understand that:

I understand that:

EMERGENCY CONTACT SECTION

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email Address

Electronic Signature

Please sign to confirm that all information provided is accurate.

Signature

Type full name

Date Signed