Last, First MI Name

Street Address

Phone Number to be reached at

Email Address

Please select the position you are applying for.

Sales Contractor Position

Cleaning Contractor Position

Do you have a valid drivers licience?
Yes No

Do you have valid car insurance?
Yes No

Are you able to travel to/from Berks, Dauphin, Lancaster & York counties to do your work?
Yes No
If not, what counties would be a problem?

Would you be able to purchase janitoral insurance for a cost of approximately $140 per year?
Yes No

The cleaning position is full everyother Friday and then the other Friday there is always atleast one smaller home to clean. Would this be a problem with hours until more jobs become available?
Yes No

On a scale of 1 to 5. 1 being not at all and being excellent, how would you consider yourself?

Detail oriented
1 2 3 4 5

Honest
1 2 3 4 5

Ability to work with others
1 2 3 4 5

Dependable
1 2 3 4 5

Customer Relationships
1 2 3 4 5

Organized
1 2 3 4 5

Time oriented
1 2 3 4 5

Promptness
1 2 3 4 5

Please paste your resume and type anything you feel is revelent for you to be considered for the cleaning or sales position.