Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you legally authorized to work in the United States? *

Yes

No

Are you at least 21 years of age? *

Yes

No

Do you have a valid driver's license? *

A copy will be required

Yes

No

Do you have a reliable vehicle to travel to work and between job sites? *

A RELIABLE vehicle is a requirement due to the nature of our work. Candidates must be able to travel to multiple job sites each day.

Yes

No

Do you have car insurance? *

State minimum or better car insurance is required and you will be asked for proof of coverage.

Yes

No

Are you comfortable around pets? *

Yes

No

Do you have any allergies to pets or cleaning solutions? *

Yes

No

Are you available to work on weekends (optional/occasional weekend jobs available but not required)?

Yes

No

I'm not interested or unable to work any weekend days.

Do you have regular and reliable childcare (if applicable)? *

Yes

No

Unsure

Not Applicable

Do you have reliable childcare when schools are closed (i.e. in-service days, Spring Break, Christmas Break, weather closings and delays)? *

Yes

No

Not Applicable

If yes, may we contact your present employer?

Yes

No

Have you ever been convicted of a criminal offense?

Yes

No

Have you ever been bonded? *

Yes

No

Has your driver’s license ever been suspended? *

Yes

No

Are you drug-free? *

A drug screening will be required for consideration of employment

Yes- I only take medications prescribed to me by a doctor

No

I acknowledge that performing cleaning services involves physical work, which may include but is not limited to: Standing and walking for extended periods of time; Frequent bending, kneeling, reaching, and repetitive motions; Lifting and carrying up to 40 pounds; and Traveling between multiple work locations during the day *

I confirm that I am able to perform these essential functions with or without reasonable accommodation.

Yes

No

I would need reasonable accomodation

Are you currently employed or self-employed? *

Yes

No

Opt in to text messages *

Would you like to receive text messages from Integrated Cleaning Solutions regarding your status in the hiring process or to communicate about details? (Data rates may apply)

Yes

No

Acceptance *

I certify that my answers to all questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I join Integrated Cleaning Solutions' team, any false, misleading, or otherwise incorrect statements made on this application or during any part of the working relationship, may be grounds for my immediate dismissal.

I have read and agree to this statement