Application for Employment (Cleaner)

Please use this form to send us your application.

It is important that you enter your contact information
accurately so that we can be assured of responding - thanks!

Personal Information

First Name:
Last Name:
Address:

Apartment#:
City:
Postal Code:
Phone:
e-mail:

Work History

Have you worked for a cleaning company previously?
Yes
No

If Yes, please enter details below

Position:
Duties:
Reason For Leaving:

Other

Are you applying for full-time and/or part-time?
Full time (35-40 hours/week) applicant
Part time (under 24 hours/week) applicant

Do you have your own vehicle?
Yes
No

Confirm

By checking this box you acknowledge that the foregoing statements and information fully and truthfully set forth the true and accurate personal information of the applicant as of the date hereof. You further acknowledge that for the purposes of determining the suitability for the position applied for, that you do not have a police record and that at no time have you been convicted of theft.