Eco Mama Job Application

First Name (required)

Last Name (required)

Date of Birth (required)

Phone (required)

Email (required)

Social Security Number (required)

Desired Wage (required)

Have you ever been convicted of a Felony? If so explain.

Have you been convicted of a misdemeanor? (including DUI) If so explain.

What days are you available? ?

What Date can you Start? (required)

Please provide 3 PROFESSIONAL references (required)
Personal ones will not be accepted. Previous employers, supervises etc are considered professional.

Previous Employment with Starting/Ending Wage (required)

Did you leave with a notice? How long? (required)

Dates (required)

Anything you'd like to mention about your recent employment? Did you give notice? Did you quit/or were let go?

Valid Drivers License (required)

Address (required)

City (required)

Zip Code (required)

What hour is the earliest you can work each day? (required)

What's the latest you can work on any day? (required)

Education? Did you Graduate? (required)


Do you feel comfortable cleaning with pets in the home? (required)

Do you have any allergies to pets? (required)

If yes - please explain

This job requires you to have your own vehicle. Do you have a reliable vehicle? (required)

Would you be able to pass a pre-employment drug screening? Plus random screenings thereafter? (required)

The work at Eco Mama is very physical. We wash floors by hand and are bending, kneeling and moving all day long. Are you able to handle a very physically demanding job? (required)

Some days we are done early due to clients cancelling or low work load. We always offer our employees additional hours if they are done early so they can make their hours. There are also days that when your scheduled time off is 5pm however you may not get done until 5:30/6:00pm. Sometimes if traffic is bad or a house takes longer than expected it can throw off the day. This position is unable to have exact end times each day. Do you have anything that you will need to be off at an exact time for? (required)

Please tell us about yourself and what makes you a good candidate for our team. (required)