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Cleaning Position Application Form

* Please complete these fields
Title
First Name *
Surname
Address 1
Address 2
Area
Town
County
Postcode *
Phone *
Mobile *
Fax
Email Address *
Date of Birth	day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December year 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Nationality *

To enable us to process your application quickly please answer the following questions.
Q1 Please select the region where you live from the options below
Select an option Birmingham and West Midlands Cheshire Chester or North Wales East Anglia Greater Manchester Ireland & N.Ireland Isle of Wight or South West Lancashire London and South East Merseyside North East and Cumbria North Yorkshire Oxfordshire or South Wales Scotland South and West Yorskshire
Q2 Do you have previous cleaning experience?
Select an option No Less than 6 months 6-12 Months 1-2 Years 2 Years plus
Q3 Please identify which skills/experience you have
Mop/ Duster
Tub Vac
Buffer
Rotary
Scrubber Drier
Window Cleaning
Industrial Cleaning
Other
Q4 Which option would you prefer?
Full Time
Part Time
Q5 How many hours do you want to work per week?
Less than 5
5-10 hours per week
15-20 hours per week
20-25 hours per week
25+ hours per week
35-40 Hours per week
Q6 Which days of the week would you like to work?
Weekends Only
Mon-Friday (every day)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Q7 Please select the times of day you prefer to work?
Before 8am
8-10 am
10-12 am
12-4 pm
4-7 pm
After 7pm
Anytime Am
Anytime Pm
Night work or Shifts
Office Hours – 9-5pm
Any Hours
Q8 Do you have your own transport?
Yes No
Q9 How far are you prepared to travel?
Select an option Less than 1 mile 1-2 miles 5 miles Maximum of 10 miles 10 miles +
Q10 Are you currently working?
Yes No
Q11 What is you preferred method of contact?
Email
Mobile Phone
Home Phone
Post
Fax
Q12 Are you legally entitled to work in the UK?
Yes No
Q13 Do you require a work permit to work in the UK?
Yes No