Domestic Job Application | Home Care in California | Ultra Clean Professional Cleaning Services

Domestic Registration Application

Here are some of the many advantages of working as an independent domestic worker with UltraClean Professional Cleaning Services Referral Agency:

- Pick Your Own Locations: We can refer clients to you based in the areas you want to service.
- Set Your Own Schedule: We can refer clients to you based on your availability and schedule.
- Excellent Pay Rates: Earn great job rates through a wide range of services offered.
- Pick Your Clients: You decide which type of services you wish to provide and which clients you want to work with.
- Continuous Workflow: If a client cancels, replacement job opportunities are available.
- Retain Your Own Clients: Keep your own private clients. If they cancel, we can offer one-time jobs.
- No Out Of Pocket Expenses: You don’t have to pay out of pocket for advertising, scheduling, or collecting on referral.

WE ARE ALWAYS LOOKING FOR EXPERIENCED, PROFESSIONAL DOMESTIC WORKERS CAREGIVERS AND HOUSEKEEPERS. FILL OUT THE DOMESTIC REGISTRATION APPLICATION BELOW AND ONE OF OUR STAFF MEMBERS WILL CONTACT YOU.

APPLICANT'S INFORMATION

Are you a citizen of the United States?

If no, are you authorized to work in the U.S.?

Have you ever worked for this company?

Have you ever been convicted of a felony?

PERSONAL REFERENCES (OTHER THAN RELATIVES)

CURRENT OR PREVIOUS HOUSE CLEANING JOBS

LIST BELOW THE DAYS & TIMES YOU ARE AVAILABLE FOR CONTRACT JOBS:

LIST BELOW THE AREAS YOU ARE AVAILABLE FOR CONTRACT JOBS

CHECK BELOW THE SERVICES YOU ARE QUALIFIED & WILLING TO PROVIDE

Basic Housecleaning

Laundry

Ironing

Move Ins & Move Outs

Errands / Shopping

Cooking

DO YOU HAVE SUPPLIES AND EQUIPMENT NEEDED TO PERFORM DOMESTIC SERVICES?

I AM QUALIFIED AS A PROFESSIONAL INDEPENDENT DOMESTIC BECAUSE:

I certify that I am 18 years or older and I agree to having a background check done to become a domestic worker with Ultraclean Professional Cleaning Services LLC.