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House Cleaning Employment Application Form
Our Cleaning service is dedicated to providing each special client with a thorough and dependable housecleaning. We maintain a close and personal relationship with each customer and they have come to expect nothing less than exceptional service from each and every cleaning they receive. We hope if you are serious and commited to joining a unique team of cleaning specialists, you would take the time to fill out the application below as thoroughly as possible.
Personal Information
Below are the zip Codes we service. It is critical that you live within or near our service area to be considered for employment

60010, 60012, 60013, 60014, 60021, 60042, 60098, 60050, 60051, 60072, 60098, 60102, 60103, 60110, 60118, 60120, 60123, 60124, 60134, 60136, 60140, 60142, 60152, 60156, 60174, 60175, 60177, 60184
Personal Information
*First Name:
*Last Name:
State:
*Address:
*City:
*E-Mail:
Tell me about yourself
*Cell Phone:
Credentials
Drivers License & Reliable Insured Car
Yes No 
Smart Phone
Yes No 
Washer/Dryer (towels)
Yes No Over 100 Over 500 
Experience & number of professional cleanings performed
Why should we hire you for this position?
Days/times available?
High School Name / Location
Type of degree earned if any:
Education
High School:
Diploma GED None 
Continuing Education:
Some College Bachelors Masters Trade School 
Describe:
Previous Employer 1
Name Of Employer:
City, State:
Email or Phone
First & Last Date There
What were your responsibilities and why did you leave?
Previous Employer 2
Name Of Employer:
City, State:
Email or Phone:
First & Last Date There:
What were your responsibilities and why did you leave?
Professional References
Reference Name:
Email or Phone:
Reference Name:
*Ever been convicted of a felony
Yes No 
Email or Phone:
Background
Legal to work here:
Yes No 
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