Cleaning Job Application Form

Helps a cleaning company evaluate a candidate end to end: availability, work history, scenario-based questions, and references, all in a single application.

Use this template

In the Claude connectors directory

E-mail

Application Date

Full Name

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Day Time Phone

E-mail

Referred By

First Name

Last Name

Date You Are Available to To Work

Are you legally eligible to work in the U.S.?

Yes No

Are you willing to take a drug test?

Yes No

Do you have a valid driver's license?

Yes No

How many hours do you want to work per week?

What days are you most interested in working?

Weekdays Weekends Both Flexible

What times of day are you most interested in working?

Morning Afternoon Evening Flexible

Please describe your experience and what makes you a true professional cleaner

Employer's Name (Most current)

Position Held

Supervisor's Name

Telephone

Reason for Departure

Duties

Start Date

End Date

May we contact this employer?

Yes No

(2) Employer's Name

Position Held

Supervisor's Name

Telephone

Reason for Departure

Duties

Start Date

End Date

May we contact this employer?

Yes No

(3) Employer's Name

Position Held

Supervisor's Name

Telephone

Reason for Departure

Duties

Start Date

End Date

May we contact this employer?

Yes No

This kitchen has not been cleaned in two weeks. Please describe in bullet points how you would clean this room and the products you would use.

No image

How would you dust a shelf with many knicknacks on it?

Remove items first Dust around items Use a feather duster Use a microfiber cloth

What is the procedure in general for cleaning any room in a house?

Top to bottom Dust then vacuum Declutter first Follow a checklist

What would you do if there was a $20 bill laying on a table with no note?

Leave it in place Report it to my supervisor Give it to the homeowner directly Other

How do you dust a picture on the wall that has no glass?

Use a dry cloth Use a feather duster Use a damp cloth Remove it and wipe it

Reference (1) Name

First Name

Last Name

Reference (1) Telephone

Reference (2) Name

First Name

Last Name

Reference (2) Telephone

Reference (3) Name

First Name

Last Name

Reference (3) Telephone

Do you have or are you able to acquire your own cleaning products and equipment before being placed on the registry? YOUR CLEANING PRODUCTS MUST BE ECO-FRIENDLY AS A CONDITION OF BEING PLACED ON THE REGISTRY.

Yes No

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