First Name Last name Address Post Code City/Town Tel No* Your email N I Number: Postion Apply For Do you have previous cleaning experience? YesNo Please describe your experience: Are you comfortable using cleaning Equipment and chemicals? YesNo Availability Days/Hours Available: Next of Kin / Emergency Contact Name: Relationship to Applicant: Phone Number: Do you currently hold a valid DBS check? YesNo Are you willing to undergo a DBS check if required? YesNo Reference 1 Name: Relationship: Phone: Email*: Reference 2 Name: Relationship: Phone: Email*: Declaration I certify that the information provided is true and complete to the best of my knowledge. I understand that false information may disqualify me from employment or lead to termination.
