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Cleaning Tech Application

First Name

Last Name

Phone *

Email *

What city do you live in? *

Are you over the age of 18? Due to insurance limitations, we require employees to be over the age of 18. *

Yes

No

Do you live within a 30-minute drive of Kalamazoo, MI? *

Yes

No, I love a little further out

Can you provide proof of eligibility to become employed in the United States? IE: Social Security Card, Work Permit, or Birth Certificate, Visa, Passport *

Yes

Not right now

Are you willing to take a pre-employment background check? *

I'd prefer not to

Yes

Are you able to abide by our "No Smoking" policy during work hours? *

Yes - I am fine with not smoking during work hours

I'd prefer to smoke on breaks

Driving is a requirement for the job. Do you have a current valid drivers license? *

Yes

No

Do you have your own car with full time access? *

Yes

Not at the moment

Is the vehicle covered by insurance and can you provide proof of insurance? *

Yes

No, I do not have insurance

I don't have a vehicle

Cleaning can be tiring. Do you feel confident that you can continuously bend, kneel, twist, and lift 20 lbs. consistently throughout the day? *

Yes! I can perform consistently at my best!

I'm not sure yet

Are you currently employed? *

Yes

No

Are you looking for Part-Time or Full-Time work? *

Full-time - More than 30 hours

Part-time- less than 30 hours

Are you consistently available to work the following schedule: 8am-5pm, Mon-Fri? *

Not at the moment. I may need to discuss further

Yes - I can work consistently at those times without conflicts

Are you willing and able to provide us with work references at the interview? *

Yes - I can provide you with professional work references

I'd prefer not

Most Recent Employer: *

Dates of Recent Employment

Previous Employer:

Dates of Previous Employment

Which quality is most important to you in a job? *

Stability

Flexibility

What are your salary expectations? *

We'd love to get to know you better! Tell us why you'd like to join our team and any other information you feel we should know: *

Please provide your resume (If you have one):

Consent* *

I certify that the information submitted is true and correct to the best of my knowledge.