Enter your details
Enter your details
1. Personal Details
First Name
*
Birthday
NI Number
Last Name
*
Nationality
2. Contact Information
Email Address
Business Phone
Do you consent to your mobile number being used in our WhatsApp group?
Please Select
Yes
No
Mobile Phone
Preferred Method of Contact
Please Select
Telephone
Whatsapp
Email
Other
3. Address
Address Line 1 (Street 1)
Address Line 3 (Street 3)
County/Province
Please Select
Northamptonshire
Peterborough
Shropshire
West Yorkshire
West Midlands
Bucks
Leicestershire
Essex
London
Cambridgeshire
Hampshire
Wellingborough
Buckinghamshire
Hertfordshire
Bedfordshire
Middlesex
Northampton
Country/Region
Select Country
United Kingdom
France
Japan
Canada
Italy
United States
UNITED KINGDOM
DENMARK
UAE
AUSTRALIA
SWEDEN
SINGAPORE
MALAYSIA
GERMANY
INDIA
THAILAND
ARGENTINA
MALTA
HONG KONG
KENYA
NETHERLANDS
PORTUGAL
New Zealand
TURKEY
KUWAIT
ISRAEL
UNITED ARAB EMIRATES
IRELAND
SRI LANKA
UK
BRAZIL
CHILE
USA
PANAMA
SPAIN
BELGIUM
SWITZERLAND
NORWAY
KOREA
INDONESIA
MEXICO
TAIWAN
CHINA
URUGUAY
CZECH REPUBLIC
PAPUA NEW GUINEA
POLAND
TANZANIA
ROMANIA
SOUTH AFRICA
GREECE
AUSTRIA
BAHRAIN
OMAN
LIECHTENSTEIN
SERBIA
HUNGARY
JORDAN
IRAN
LEBANON
VIETNAM
QATAR
BRUNEI
FINLAND
PHILLIPINES
LUXEMBOURG
IRAQ
ICELAND
GHANA
SYRIA
SUDAN
COSTA RICA
SLOVAKIA
TRINIDAD & TOBAGO
SAUDI ARABIA
BULGARIA
CYPRUS
NIGERIA
SAINT LUCIA
PAKISTAN
KOSOVO
NEW ZEALAND
WEST INDIES
Address Line 2 (Street 2)
City
ZIP/Postal Code
4. Emergency Contact
Emergency Contact Name
Emergency Relationship
Emergency Phone
5. Right to Work & Identification
RTW Status
Permit to work needed
Please Select
Yes
No
ID Type
ID Proof Provided
Please Select
Yes
No
6. Background Check / DBS
Consent for DBS
Please Select
Yes
No
DBS
Please Select
Yes
No
Previous Conviction
Unspent Convictions
Please Select
Yes
No
7. References
Referee 1 (Work)
Name
Company
Relationship
Telephone Number
Email Address
Referee 2 (Character)
Name
Relationship
Telephone Number
Email Address
8. Availability & Hours
Type
Regular
One Off
Earliest Start Date
No of Hours Wanted
Availability Schedule
Available from Today
Please Select
Yes
No
Willing to work with another cleaner?
Please Select
Yes
No
9. Work Type Preferences
Regular Weekly Cleans
Please Select
Interested
Not Interested
Fortnightly Cleans
Please Select
Interested
Not Interested
Ironing
Please Select
Interested
Not Interested
One-off Deep Cleans
Please Select
Interested
Not Interested
End of Tenancy Cleans
Please Select
Interested
Not Interested
10. Skills & Experience
Cleaning Experience (Years)
Strengths
Willing to Iron
Please Select
Yes
No
Previous Work
Additional Info
11. Health & Lifestyle
Smoker
Please Select
Yes
No
Pet Allergies (Can work with pets?)
Health Conditions
12. Transport
Driver
Please Select
Yes
No
Primary Transport
Has Car
Please Select
Yes
No
Max Travel Distance (Miles)
13. Work Areas
Postcodes and Areas you can work in
Areas Worked
Regional Selections
Plymouth
PL1
PL19
PL2
PL20
PL21
PL3
PL4
PL5
PL6
PL7
PL8
PL9
Wolverhampton
ST19
WV10
WV11
WV15
WV3
WV5
WV6
WV7
WV8
WV9
Bromsgrove & Halesowen
B31
B32
B45
B48
B60
B61
B62
B63
B67
DY9
Walsall
WS13
WS11
WS12
WS15
WS2
WS3
WS4
WS6
WS7
WV12
Loughbrough & M Mowbray
LE11
LE12
LE6
LE13
LE14
LE15
LE7
NG10
NG11
NG2
NG12
NG13
Burton On Trent
DE11
DE13
DE14
DE15
DE65
DE72
DE73
DE74
Flintshire
CH6
CH7
CH8
CH3
CH4
CH5
Liverpool
L15
L16
L17
L18
L19
L24
L25
L26
L27
L35
L36
L8
L1
L10
L11
L13
L2
L20
L21
L22
L23
L29
L3
L30
L4
L5
L6
L7
L9
WA8
WA12
WA2
WA3
WA5
WA9
WN7
M46
BL5
Blackpool
FY1
FY3
FY2
FY4
FY5
FY6
FY7
FY8
Glasgow
G1
G11
G12
G13
G14
G15
G2
G20
G22
G23
G3
G4
G60
G61
G62
G81
G82
G41
G42
G43
G46
G5
G51
G52
G53
G77
G78
PA2
PA9
North Wales
LL45
LL46
LL47
LL26
LL27
LL28
LL29
LL30
LL31
LL32
LL33
LL34
LL48
LL49
LL51
LL52
LL53
LL54
LL55
LL56
LL57
LL58
LL59
LL60
LL61
LL62
LL63
LL64
LL65
LL66
LL67
LL68
LL69
LL70
LL71
LL72
LL73
LL74
LL75
LL76
LL77
LL78
HR3
HR5
LD1
LD2
LD3
LD4
LD5
LD6
LD7
LD8
LL15
LL20
LL21
LL23
LL24
LL25
LL35
LL36
LL37
LL38
LL39
LL40
LL41
LL42
LL43
LL44
SA19
SA20
SA38
SA39
SA40
SA44
SA45
SA46
SA47
SA48
LL11
LL12
LL13
LL14
LL19
Nantwich
CW5
CW1
CW2
CW3
Telford
TF1
TF10
TF12
TF13
TF2
TF3
TF4
TF5
TF6
TF7
TF8
TF11
Shrewsbury
SY15
SY16
SY17
SY18
SY19
SY20
SY21
SY22
SY23
SY24
SY25
SY9
SY10
SY11
SY12
SY13
SY14
SY1
SY2
SY3
SY4
SY5
SY6
Halifax
HX1,HX2,HX3
14. Admin / System
Password
Cleaner Status
Please Select
Active
Full
Inactive
Interview Manager
Interview Manager / Cleaner
Sent to Interview Manager
Invited to Interview
Checking RTW
Interview Booked
Refs & Id to be checked
Exported to Admin Centre
Needs setting up on whatsapp
SMS Send
Please Select
Yes
No
WhatsApp Send
Please Select
Yes
No
Date Interviewed
SMS Text
16. Attachments / File Uploads
Upload Photograph (JPG/PNG)
Upload RTW Proof
Upload Photo ID
Proof Of Address (Recent Bill)
Referee 1 File
Referee 2 File
17. Compliance & Declarations
Self-Employment Declaration
Consent & Declaration
Cleaner Terms of Engagement