Personal Information First Name * Last Name * Address * Address 2 Apartment # City * Postal Code * Phone * Email * Work History Have you worked for a cleaning company previously? YesNo If yes, please enter details below: Position Duties: Reason for Leaving: Other Are you applying for full-time and/or part-time? Full time (35-40 hours/week) applicantPart time (under 24 hours/week) applicant Do you have your own vehicle? YesNo Confirm: By checking this box you acknowledge that the foregoing statements and information fully and truthfully set forth the true and accurate personal information of the applicant as of the date hereof. You further acknowledge that for the purposes of determining the suitability for the position applied for, that you do not have a police record and that at no time have you been convicted of theft.