Experienced Office Cleaner Application

Step 1 of 4

About you

Contact details and transportation

Let’s start with the basics. Fields marked with * are required.

Full name*

City where you live*

Phone number*

Email address*

Do you have a reliable personal vehicle?*

YesNo

Do you have a valid driver's licence?*

YesNo

Step 2 of 4

Your experience

Cleaning experience and certificates

Paid commercial janitorial experience*

Residential or household cleaning does not count toward this requirement.

What types of commercial buildings have you cleaned?*

For example: offices, warehouses, clinics or industrial facilities.

Describe how you clean and disinfect a commercial washroom*

Briefly describe the order you work in and the products or precautions you use.

Which commercial cleaning equipment have you operated?*

Do you have any certificates?

Do you currently have WHMIS training or a WHMIS certificate?*

YesNo

List any job-related training or certification courses

For example: WHMIS, first aid, floor care, equipment operation or infection prevention. Enter “None” if you have no courses to list.

Step 3 of 4

Work preferences

Current work, locations and schedule

Are you currently working in the cleaning industry?*

YesNo

Why are you applying for this position?*

For example: extra income, more hours, a schedule change or a long-term opportunity.

What type of work are you looking for?*

Long termShort termEither

Earliest date you can start*

Preferred number of hours per week

Step 4 of 4

Final details

References, confirmation and submit

Ability to perform the work

We do not ask about past injuries or medical conditions.

Can you perform the essential duties of commercial cleaning safely, with or without reasonable accommodation?*

If you may need an accommodation, you do not need to provide medical details on this form.

YesI may need accommodation

Employment references — 2 required

Please provide two work-related references we may contact.

Reference 1 name*

Reference 1 phone*

Reference 2 name*

Reference 2 phone*

Anything else we should know?

I confirm that the information is accurate and consent to QCR Janitorial using it to assess my application. *