Employment Application Name * First Name Last Name Are you within 25 minutes of Peyton Colorado to interview in person?* Yes No Phone * (###) ### #### Email * Which city do you live in? * Are you over the age of 18? * Due to insurance limitations, we must require all employees to be over the age of 18. Yes No Can you provide proof of eligibility to become employed in the United States? * Yes No Are you willing to take a pre-employment criminal background check? * Yes No Do you have full time access to a smart phone? * Yes No Driving is a requirement for the job. Do you have a current valid drivers license? * Yes No Do you have your own reliable transportation? * Yes No Is the vehicle covered by insurance and can you provide proof of insurance? * Yes No I don't have a vehicle House cleaning can be tiring - do you feel confident that you can continuously bend, kneel, twist, and lift 20 lbs consistently throughout the day? * Yes No Are you currently employed? * Yes No Current or Most Recent Employer * Employer | Position | Length of Employment Do you have at least 1 year of Residential/Home Cleaning experience? * This isn't a requirement. It only helps us understand how to help train you better. Yes No Are you looking for Part Time or Full Time work? * We hire primarily Full Time Full Time Part Time ChecAre you available to work Monday through Friday from 8am to 5pm consistently? * Yes No Are you willing and able to provide professional references at the interview? * Yes No 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: Thank you for your interest for employment at Clean Home Colorado LLC. We will reach out shortly.