* INDICATES REQUIRED FIELD

*Name:

Address:

*City:

*State:

*Zip:

Phone:

*email address:

I have a resume: yes no

If "yes", please fax it to: (1-541-306-4734)

I'm looking for: full-time part-time

I have reliable transportation: yes no

I have commercial cleaning experience: yes no

If "yes" what type of experience:

medical industrial commercial

restaurant other

I have had management experience: yes no

I have been responsible for training: yes no

I have experience in:

floor care carpet cleaning

upholstery cleaning window cleaning

*Please give us a brief employment history:

*Why should we hire you?:

Yes, I want a One Way Clean Representative to contact me!