Employment Application Name/ Nombre of Service Provider(Required)A "service provider" is an independent contractor or house cleaner. Un proveedor de servicio es una persona que trabaja como contratista independiente. First Last Email(Required) Phone(Required)Full Home Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth(Required) MM slash DD slash YYYY Do you have a valid driver's license?(Required)Do you have a valid driver's license?Yes - CA driver's licenseYes - out-of-state driver's licenseNo - I do not have a driver's licenseDo you have a Social Security Number or EIN?(Required)Do you have a Social Security Number or EIN?YesNoAre you authorized to work in US?(Required)Are you authorized to work in US?Yes - I'm a US CitizenYes - I have a valid Green Card or VisaYes - I have a work permitNoHave you ever been convicted of a felony?(Required)Have you ever been convicted of a felony?No - I have no felony convictionsYes - I have a felony convictionDo you own a car?(Required)Do you own a car?Yes - I own my carNo - I don't own a carDo you have at least a year of HOUSE cleaning experience?(Required)Do you have at least a year of HOUSE cleaning experience?YesNoDo you have your own equipment?(Required)Do you have your own equipment?YesNoDo you have your own clients?(Required)Do you have your own clients?YesNo3 Professional Work References - Individuals who you have worked with. Do not list friends or family.Favor de proveer 3 referencias de trabajo. No listar familiares o amigos. Solo personas que le han pagado por limpiar su hogar.Reference 1 - First Name(Required)Reference 1 - Last Name(Required)Reference 1 - Phone Number(Required)Reference 2 - First NameReference 2 - Last NameReference 2 - Phone NumberReference 3 - First NameReference 3 - Last NameReference 3 - Phone NumberWhat days do you prefer to work?(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you prefer Mornings, Afternoons, or Both(Required) Mornings Afternoons Both Do you have your own business license and/or liability insurance?(Required)¿Tiene su propia licencia de negocios y/o aseguranza?Yes, I have both.No, I do not have either and I DO NOT plan to get any.No, I do not have either at the moment, but I DO plan to get them SOON.I have a business license but not business liability Insurance.I have business liability insurance but not the business license.How much work are you looking for?(Required)¿Cuanto trabajo está buscando?A couple of jobs per month / unos cuantos trabajos de limpieza por mesA couple of jobs per week / unos cuantos trabajos de limpieza por semanaPlease fill my schedule I need lots of work / favor de llenar toda mi semana, necesito mucho trabajoI want to only pick up jobs when my business schedule is light / solo quiero trabajos cuando el trabajo por mi cuenta esté bajoWhat do you normally charge or want to be paid per hour?(Required)¿Qué cobra por hora / cuánto desea que le paguen por hora?$21 - $25 per hour$26 - $30 per hour$31 - $35 per hour$36 - $40 per hour$41 - $45 per hour$46 - $50 per hour$51 - $60 per hour$61 - $70 per hour$71 - $80 per hourMore than $80 per hourHow did you find us and this job?(Required)¿Como escucho de nuestra agencia?Please Answer the following questionsWhat cities do you normally service?(Required)¿En qué ciudades ofrece sus servicios? Napa St. Helena American Canyon Vallejo If a client is upset with the quality of your work how would you attempt to resolve the matter?(Required)¿Si un cliente está molesto por la calidad de su trabajo, cómo trataría de resolver la situación?Your running late for a job or can't make the job at all, what would you do?(Required)¿Vas tarde para un trabajo que te refirió la agencia o no puedes hacerlo, qué harías?Are there things that you may be uncomfortable working around? Cats, Dogs, insects for example(Required)¿Hay algo que te incomoda para desempeñar un trabajo de limpieza? Por ejemplo, perros, gatos, insectos. Δ
