First Name *

Last Name *

Email *

Phone Number *

Street Adress *

Street Adress 2

City *

State or Province *

Postal code *

Country *

Do you have professional paid cleaning experience?

Yes, I've worked for a company

Yes, I have my own customers

Yes, I've cleaned for both my own customers and with a company

No, I do not have any professional cleaning experience

How many hours per week are you able to work *

5 -10 hours

10- 20 hours

20- 30 hours

30- 40 hours

Are you currently employed by a cleaning company as a maid or cleaner? *

Yes

No

Are you currently working as an independent contractor or subcontractor? *

Yes

No

Do you currently have paying customers for house cleaning? *

Yes

No

How many customers do you currently have? *

0

1-5

5-10

10+

What experience do you have professionally cleaning? (Ex: I've work for Maid Company X from 1/17 - 3/18 or I started my own cleaning company in 2005) *

Do you have a Cleaning partner *

Yes

No

Do you have Business General Liability Insurance? *

Yes

No

Are you legally able to work in the U.S *

Yes

No

How did you first hear about us?

This kitchen hasn't been cleaned in about a month. Please describe in bullet points how you would clean this room, and where necessary indicate what products you would use. *