Personal Information

Full Name

Phone *

Address *

State

Zip Code *

Email *

Are you legally eligible to work in this country? *

Yes

Do you have a valid driver’s license? *

Yes

Availability

What days are you available to work? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

What hours are you available to work? *

Morning

Afternoon

Evening

Are you available to work weekends or holidays? *

Yes

Do you prefer full-time or part-time work? *

Full-time

Part-time

Work Experience

Do you have previous experience as a housekeeper or cleaner? *

Yes (please provide details below)

Describe your previous housekeeping experience, including the type of properties you cleaned (e.g., residential, commercial, hotels)

Do you own a Vacuum Cleaner ?

Yes

Skills and Preferences

Are you comfortable performing the following tasks?

Deep Cleaning

Laundry

Organizing Closets

Cleaning Homes with Pets

Cleaning Homes with Young Children

Do you have any specialized cleaning skills or certifications?

Yes

Transportation and Accessibility

Do you own your own Vehicle? *

Yes

Do you have an issue walking up stairs & lifting 20lbs? *

Yes

References

Can you provide references from previous employers or clients? *

Yes

If yes, please list their names and contact information (or attach a document)

Attach a Document

Please upload the list of the names and contact information of your references.

Health and Safety

Do you have any allergies or medical conditions that may impact your ability to perform housekeeping tasks? (If yes, please specify below) *

Yes

Please specify your health conditions here:

Are you familiar with safety protocols for handling cleaning chemicals? *

Yes

Other Questions

Why are you interested in this housekeeping position? *

What makes you a great candidate for this job? *

Have you ever been convicted of a criminal offense? (A conviction does not automatically disqualify you from employment.)

Yes

If yes, please explain why you have been convicted.

Do you have liability insurance?

Yes

Applicant Certification

Yes, I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in my dismissal if employed.