Join our team! Full name * First Name Last Name Email * Phone Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth Marital Status * Emergency Contact * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### General Questionnaire 1. What types of cleaning jobs have you performed? * Residential house cleaning Hotel cleaning Office cleaning Hospital cleaning Commercial cleaning 2. How many years of paid work experience do you have in cleaning? * None Less than a year 1 to 2 years 2 to 3 years More than 5 years 3. How long did you work at your previous job? * Less than 3 months 3 to 6 months 1 to 2 years 3 to 5 years 4. What is your level of education? * GED or High School Diploma Some College College Degree None 5. Are you authorized to work in the U.S.? * Yes No 6. Social Security Number (SSN) 7. Do you have a valid driver’s license? * Yes No 8. Driver’s license number 9. State of driver’s license 10. Do you have a bank account? * Yes No 11. Has your driver’s license ever been suspended? * Yes No 12. Do you have any criminal convictions? * Yes No 13. What type of work schedule are you applying for? * Full-time: more than 35 hours per week Tiempo parcial: menos de 29 horas semanales Part-time: less than 29 hours per week Weekends only Evenings: usually 5:00 p.m. to 10:00 p.m. Flexible schedule: I’d like to choose my own days 14. Are you available to work Monday through Friday from 8:00 a.m. to 5:00 p.m.? * Yes No 15. Do you have a reliable vehicle to get to work Monday through Friday? * Yes No 16. Would you have difficulty standing, bending, or kneeling to perform the necessary cleaning tasks? * Yes No 17. Do you need any special accommodations to perform the job? * Yes No 18. Are you afraid of dogs or cats? * Si No 19. Are you currently employed? * Yes No 20. Do you currently clean places for your own clients? * Yes No 21. When would you be available to start working? 22. Do you plan to move out of the area within the next 12 months? * Yes No 23. How far do you live from downtown Indianapolis? * Less than 10 miles More than 20 miles More than 25 miles 24.How did you hear about us? * Google Facebook Instagram Linkedin Indeed Otro Previous work Company name Position Supervisor Name Phone Country (###) ### #### Reason for departure Start date/End date: Can we get in touch for a reference? * Yes No I have no work history Terms and conditions I acknowledge receipt of the Summary of Rights under the Fair Credit Reporting Act. I acknowledge receipt of the Background Screening Statement and certify that I have read and understand this document. I understand that by clicking this box, I confirm that (a) I have read and consent to the legal notices contained herein and (b) agree to use an electronic signature to demonstrate my consent. I understand that my electronic signature is as legally binding as an ink signature. ¡Gracias por aplicar con Amazing 360 Cleaning Services! Agradecemos tu interés y pronto nos pondremos en contacto contigo.
