Please fill out this employment application form:

* Required Fields
* Please match this code (prevents spam) :
* Name :
Cell Phone :
* Daytime Phone :
* Email Address :
* Address 1 :
Address 2:
* City :
* State/Province :
* Zip/Postal :
* Work Experience
* Do you have a valid drivers license? 
* Do you carry car insurance? 
* Do you have your own transportation? 
* Can you provide proof that you are legally able to work in this country? 
* Are you physically able to perform the tasks typically associated with cleaning, like Standing, Kneeling, Bending, Lifting up to 50 pounds? 
* Have you ever been convicted of a criminal offense? (All employees are required to be bonded, and we will conduct a criminal background check prior to hiring any candidate.) 
If yes, please explain in detail:
* If you are hired, when would you be available to start work?
* Employment history for your last job
* Are you currently employed? 
Current or Former Employer Information
* Name of employer (last or current employer) 
* Phone number of employer:  
* Street address of employer:  
* City of employer:  
* State employer:  
* Zip Code of employer:  
* Reason for leaving employer
* If you left voluntarily, did you give a full 2 weeks notice to employer?  
* What cleaning products are you using?
* What motivates you to apply for our company?
In submitting this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and understand that if any misrepresentation, omission or falsification is discovered, it will constitute grounds for dismissal. I understand that if this application results in a subsequent personal interview for employment that I will be asked to furnish certain references concerning my work history.

I understand that prior to employment, you will conduct any investigation necessary concerning any part of my background related to the position I am seeking, including, but not limited to, the obtaining of a criminal background check. I understand and agree that, if employed, I will be responsible for familiarizing myself with all rules and regulations of the company as they presently exist or are later modified and that I will abide by its rules and regulations which I understand are subject to change. I also understand that no representative of the company has any authority to enter into any employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.

Making your house shine a little more bright.
Call us to schedule today.


Barbara Whisonant | | Lakewood, Colorado

A Clean Place