Maid2Clean Application Form
Title
Miss
Mrs
Ms
Mr
First Name
Last Name
Street Address
Post Code
Telephone
Mobile
Email
Date of Birth
National Insurance Number
Nationality
How many dependant children do you have?
Have you had any criminal convictions?
Yes
No
Have you had a DBS/CRB check?
Yes
No
Do you smoke?
Yes
No
Do you have any pet allergies?
Yes
No
If yes, what pets are you allergic to?
How many hours of work would you like?
Would you be able to drive to your clients?
Yes
No
Cleaning experience
Please provide the names and phone numbers of two people as references
Name
Telephone
How do you know this person?
Name
Telephone
How do you know this person?
Emergency contact
Name
Telephone
Relationship