CLEANLI Co Application

Applicant Information

Tell us how we can identify and contact you.

First Name *

Last Name *

Email Address *

Phone Number *

City *

State *

ZIP Code *

Preferred Contact Method

Opportunity & Position

Tell us where you believe you can contribute most.

Position / Role Applying For *

Preferred Work Area / Market

Opportunity Type *

W-2 Employment

Independent Contractor

Either / Open to Placement

Earliest Available Start Date

Desired Weekly Hours

Availability

Select every period you are generally available to work.

Are you willing to travel to assigned service locations? *

Do you currently have reliable transportation? *

Scheduling Notes

Eligibility & Job Requirements

These questions relate to general job eligibility and assignment requirements.

Are you at least 18 years of age? *

Are you legally authorized to work in the United States? *

Can you reliably use a smartphone for company systems? *

Are you willing to complete required training? *

Are you willing to follow safety, PPE, chemical, equipment, and service procedures? *

Are you willing to use digital scheduling, work orders, checklists, and reporting systems? *

Equal Opportunity: CLEANLI Co evaluates applicants based on qualifications, job-related requirements, experience, availability, professionalism, performance potential, and organizational needs.

Employment History

List your most recent work experience. If you do not have prior employment experience, you may leave employer fields blank.

Most Recent Employer

Company / Organization

Job Title

Start Date

End Date

Main Responsibilities

Reason for Leaving

Previous Employer

Company / Organization

Job Title

Start Date

End Date

Main Responsibilities

Professional References

References may include previous supervisors, managers, instructors, clients, business contacts or other professional references.

Reference #1

Full Name

Relationship

Phone

Reference #2

Full Name

Relationship

Phone

CLEANLI CREW Assessment

Help us understand how you approach work, responsibility, service and growth.

Why do you want to join CLEANLI? *

What does professionalism mean to you? *

Describe a time you had to take responsibility for completing a task without constant supervision.

How would you respond if a client or manager said your work did not meet expectations? *

What makes you someone CLEANLI can rely on? *

Technology & Communication

Comfort Level With Technology

Experience With Work Apps

Systems or Applications You Have Used

Applicant Source

How did you hear about CLEANLI? *

Referred By

Final Acknowledgment

Please carefully review and acknowledge the following statements before submitting your application.

I certify that the information provided in this application is true, accurate, and complete to the best of my knowledge.

I authorize CLEANLI Co to verify job-related information contained in this application, including relevant employment history and professional references where appropriate.

I understand that submitting this application does not guarantee employment, independent-contractor placement, an interview, assignment availability, or a particular position.

I understand that candidates selected to proceed may be required to complete CLEANLI onboarding, orientation, training, assessments, certifications, system setup, and placement approval before beginning active operations.

Electronic Signature — Full Legal Name *

Date

By typing your name and submitting this form, you acknowledge that your typed name serves as your electronic acknowledgment of this application.

✓

Application Submitted Successfully

Thank you for taking the first step toward joining the CLEANLI CREW.

Your application has been successfully received by CLEANLI Co. Please save your Application ID for your records.

If selected to proceed, a CLEANLI representative may contact you regarding interviews, assessments, onboarding, training, placement review, or additional next steps.

$50 OFF 1st Service Request

CREW Application

Applicant Information

Opportunity & Position

Availability

Eligibility & Job Requirements

Experience & Qualifications

Employment History

Most Recent Employer

Previous Employer

Professional References

Reference #1

Reference #2

CLEANLI CREW Assessment

Technology & Communication

Applicant Source

Final Acknowledgment

Review Your Application

Application Submitted Successfully