Cleaner Application   Name:   Address:   DOB:   Phone:   Mobile:   Email:   Drivers Licence: Yes No   Do you have cleaning experience: Yes No   Years of experience: Under 1 Year 1-5 Years 5+ Years   Availability:  Monday  Tuesday  Wednesday  Thursday  Friday  Saturday  Sunday   Do you have a current police clearance: Yes No   Are you willing to do family washing: Yes No   Do you have references: Yes-written Yes-verbal Yes-written & verbal No   Can we contact your references: Yes No

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