First & Last Name *

Complete Address *

City *

Postal Code *

Email *

Phone *


Are you currently employed? * YesNo

What type of cleaning experience do you have? (check all that apply) * Residential cleaningMove in / Move out cleaningHotel housekeepingJanitorialCommercialIndustrial

Do you have housekeeping experience? * Yes, I've worked for a cleaning companyYes, I've cleaned for my own customersNo

How many years of cleaning experience do you have? *

If you worked for a cleaning company, which company was that? *

Do you own or have access to a car? * YesNo

Are you authorized to work in? * YesNo

Are you fluent in English? * YesNo

Are you available to work at least 30 hours a week, or full weekends? * YesNo

Would you be able to pass a criminal background check? * YesNo

Do you own a cellphone? * YesNo

Do you have internet access? * YesNo

Do you have a partner that can work with you? * YesNo

What's the best time to call you for an interview?

What do you enjoy about cleaning?

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

How well do you work on your own?

Are there any other experiences or notes you'd like us to know about?