HOME

RESIDENTIAL

COMMERCIAL

Job Application Form
Title:	Mr. Mrs.       Ms.
First Name:
Last Name:
Age category	Under 20 21 - 30 31 - 40 41 - 50 51 - 60 60+
Phone:
Email:
Address:	Please select the city CoquitlamSurrey
Please describe yourself:

Do you have a business licence? No Yes

Are you bonded and insured? No Yes

Do you have a valid driver licence? No Yes

Do you have a vehicle? No Yes

Are you able to provide your own supplies (i.e. vacuum, mop, cleaning products, etc.)? No Yes

What type of cleaning you would like to provide?
Move in/out No Yes	One time No Yes	Same Day No Yes	Regular No Yes	After construction No Yes

Pick which city (or cities) in which you would like to provide cleaning services.
Coquitlam	NoYes
Surrey	NoYes

What days are you available ?
	Sun	Mon	Tue	Wed	Thu	Fri	Sat
6am-9am
9am-12pm
12pm-3pm
3pm-6pm
6pm-9pm
9pm-12am
12am-3am
3am-6am

Do you have experience providing house cleaning services? No Less then 1 year 1 - 3 years More then 3 years

Please give a brief summary of your skills and work experience.

Can you provide client references? No Yes

If yes, please list 2 professional references. Note: friends and family members are not suitable references. Reference #1 Reference #2

Are you able to communicate with clients (English)     in writing       orally

What language(s) do you speak (other than English)

What is your expected hourly rate? $

By submitting this form, I confirm that the information I have provided is correct, that I have the legal right to work in Canada, and that I am at least 19 years of age.