Hartlock Professional Cleaning Services
Full Name*
Phone*
Email*
Date Of Birth*
Postal Address*
Residential Address* YesNo
Do you possess your own Smart Phone?YesNo
Do you have a current valid Driver’s Licence?YesNo
Do you have your own reliable vehicle? YesNo
Is your vehicle comprehensively insured?YesNo
Do you have a Police Clearance Certificate issued within the last 12 months? YesNo
Do you have a white card? YesNo
Do you have a current First Aid Certificate? YesNo
Do you have any pre-existing health conditions which may impact your ability to do physically demanding work? YesNo
What size shirt do you take?
Are you able to complete a full working day (7.5 hours) without smoking or vaping? YesNo
Are you willing to complete a pre-employment drug and alcohol test?YesNo
Are you willing to complete a pre-employment medical assessment?YesNo
How many hours a week are you available for?
SundayMondayTuesdayWednesdayThursdayFridaySaturday
Do you have any experience in professional cleaning? YesNo
Please list your previous 2 employers and your start and finish dates with them.
Please provide 2 phone references and state what type they are:
