Employment Application

Contractor’s Application

Your Name(s):
Company Name: (if applicable)
pager, cell #, fax #
Postal Code:
WCB Account # (if applicable)
Marital Status:
Children (ages):
Social Insurance Number:
Languages Spoken:
Do you own a computer? Yes No

If yes, do you have an e-mail address? Yes No

Your E-mail address:

Please list ALL janitorial experience:

Employer From / To Supervisor Phone #
Money you wish to earn: part-time
What parts of the city are you willing to travel to?
(west, north, south, east)
How many days per week do you want?
How many hours per night?
Would you be cleaning by yourself?
If not, please name everyone who will be working with you:
Vehicle license plate number
Vehicle make, model, year, color
List ALL equipment &/or supplies you own: eg. Floor machines, vacuums. Include size and type.