Background Check

Name *

Legal Name as it appears on your Birth Certificate

First Name

Last Name

I don't have a middle name

DOB *

Date of Birth

MM

DD

YYYY

Address *

if you haven't reside more than 2 years please enter your pervious address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pervious Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Gender

Male

Female

Check here to indicate that you have read and agree to the terms of The Cleaning Clinics Agreement and the Terms and Conditions. * *

I agree to the terms of The Cleaning Clinics term and conditions

I authorize The Cleaning Clinics to perform a background check

Per the contract offer extended to you by The Cleaning Clinics LLC -  you are required to submit a background check before you begin cleaning.  We ask you to complete this step as quickly as possible so you are able to start your contract on the agreed upon date.Here are some important things to keep in mind as you complete this process:-Remember to enter complete information into the required fields (fields marked 'Red') i.e. Enter your name as it appears on your Govt ID or Driver's License. Do not use abbreviations or initials unless specifically instructed to do so.-You will be asked to provide an 'electronic signature' to consent to having the background check conducted. If you choose 'not' to provide consent using the electronic signature tool imbedded in the application, you will be contacted and sent a paper Disclosure and Authorization consent form to sign and return. Please note, this can significantly delay the process.-In order to be able to sign the authorization electronically, please enter your first and last name below. As noted, there is no cost at all to you for completing this background check.  Although there is some general language about credit checks in some of the language in some of the text appearing on the portal, kindly note that this is a check for criminal records only.  Please rest assured that your credit or financial records will NOT be checked in any capacity.

Signature

First Name

Last Name