Squeaky Clean Job Application

Application - Squeaky Clean House

Please complete the Vendor application with us to be an approved House Cleaner...
Your State? *
Full Name *

First Name Middle Name Last Name
Drivers License # *
SS # *
Date of Birth *

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email Address *
Phone Number

Area Code Phone Number
Gender
Tell us when you CAN work (days and times) *
Any Felonies in last 10 years? *
Hours Needed? *
Do you have reliable car that YOU own? *

Do you already have daycare setup and ready to go? *
We do not provide letters for DHS for daycare purposes! You will need to show them copies of all your checks from us since you are not an employee.
Give us 2 References for house cleaning (Names and Phone) *
Tell us about your last 3 jobs and start and end dates.... *
Signature *

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