Cleaning Services Employment Application Form

Collect each candidate's personal, contact, and work-eligibility details when they apply for a role at a cleaning company.

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Last Name

First Name

Middle Initial

Street Address

Apartment/Unit #

City

Prov.

Postal Code

Do You Own a Vehicle?

Yes No

Phone

Date Available

E-mail Address

Driver's License

Class G Class G2 Class A None

Are You a Citizen of Canada?

Yes No

If No, Are You Authorized to Work in Canada?

Yes, I am authorized

No

Not authorized

Have You Ever Worked for Reliable Before?

Yes No

If So, When?

Are You Able to Provide a Clean CPIC?

Yes No

If No, Explain

I certify that the information provided in this application is true and complete.

Signature

Sign here

Date

Thank you for your interest in joining our cleaning team. We will contact you if your application moves forward in the selection process.

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