Name* Address Postcode Landline number Mobile number Email address* Can we e mail you at this email address to attend interview? YesNo Have you any criminal convictions (subject to Rehab of Offenders Act)? YesNo Do you have any prosecutions pending? YesNo Have you any civil court judgements for debt? YesNo Have you your own transport? YesNo If no transport, can you make your own way to work? YesNo Have you had any previous experience in Cleaning? YesNo Do you have good eyesight, with or without spectacles? YesNo Are you employed at the moment? YesNo Why did you leave your last job? When did you leave your last job? Can you read and write well? YesNo Do you consider that you have a good sense of smell? YesNo Are you fit and healthy? YesNo Can you supply character references? YesNo Can you give your employment history for the last five years? YesNo Are you a British National? YesNo If not British national, how long in the UK? Are you a student? YesNo Are you seeking full time or part time work? Full timePart time If applicable, do you have a valid work permit? YesNo Download now