Employment of New Cleaning Technicians

MSL Cleaners (Trading under Miene Services Ltd)
Registered in England & Wales | Company No. 14859238
📧 Email: mieneservicesltd@gmail.com | 📞 Tel: +44 7599 019825

📝 SECTION A: PERSONAL INFORMATION

  • Full Name: _________________________________________________

  • Date of Birth: ____________________

  • National Insurance Number: ____________________

  • Nationality: ____________________

  • Right to Work in the UK? ☐ Yes ☐ No

  • Current Address:

  • Phone Number: ____________________

  • Email Address: ____________________

  • Emergency Contact Name: ____________________

  • Relationship: ____________________

  • Emergency Contact Phone Number: ____________________

🧽 SECTION B: EMPLOYMENT INFORMATION

  • Position Applied For: Cleaning Technician

  • Preferred Work Type: ☐ Part-Time ☐ Full-Time ☐ Casual ☐ On-Call

  • Preferred Working Days:
    ☐ Mon ☐ Tue ☐ Wed ☐ Thu ☐ Fri ☐ Sat ☐ Sun

  • Preferred Working Hours (e.g., 9am–3pm): ________________________

  • Do you hold a valid UK driving licence? ☐ Yes ☐ No

  • Do you have access to a vehicle for work? ☐ Yes ☐ No

  • Do you own any cleaning equipment? ☐ Yes ☐ No
    If yes, please specify: ___________________________________________

💼 SECTION C: WORK EXPERIENCE

1. Most Recent Job Title: ____________________

  • Company Name: ____________________

  • Duration: From ___________ To ___________

  • Main Duties: ___________________________________________

  • Reason for Leaving: ___________________________________________

2. Previous Job Title: ____________________

  • Company Name: ____________________

  • Duration: From ___________ To ___________

  • Main Duties: ___________________________________________

  • Reason for Leaving: ___________________________________________

📜 SECTION D: REFERENCES

Please provide details of two professional referees (not relatives):

1. Name: ____________________

  • Relationship: ____________________

  • Organisation: ____________________

  • Phone: ____________________

  • Email: ____________________

2. Name: ____________________

  • Relationship: ____________________

  • Organisation: ____________________

  • Phone: ____________________

  • Email: ____________________

🩺 SECTION E: MEDICAL HISTORY

  • Do you have any medical conditions or allergies that we should be aware of?
    ☐ No ☐ Yes (please specify): _______________________________________

  • Are you physically able to carry out cleaning tasks, including lifting and standing for long periods?
    ☐ Yes ☐ No (please explain): _______________________________________

🔐 SECTION F: CRIMINAL RECORD

  • Have you ever been convicted of a criminal offence?
    ☐ No ☐ Yes (please provide details): _______________________________

(Please note: a DBS check may be required.)

📄 SECTION G: DECLARATION

I declare that the information provided above is true and complete to the best of my knowledge. I understand that any false statement or omission may result in dismissal if employed.

I also understand and agree that employment is subject to satisfactory references, a probationary period, and (if applicable) a clear DBS check.

Signature: ___________________________
Name: ___________________________
Date: ___________________________

📝 FOR OFFICE USE ONLY

  • Start Date: ____________________

  • Position: ____________________

  • Rate of Pay: £________ per hour

  • Hours per Week: __________

  • Uniform Issued: ☐ Yes ☐ No

  • Training Completed: ☐ Yes ☐ No

  • Notes: _____________________________________________________