Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com
417 NE 2nd Ave
Hallandale Beach, FL 33009
 

Part-Time

Housekeeper & Cleaning Services

Application

                       
Company Name:  
First Name:   Last Name:      
                     
Address:   City:   State:  Zip:
  Home Phone:     Cell Phone:     Receive Text:  Yes No  
Other Phone:   Fax Number:   Email:
  Referred By:                  
                     
 
Type of Cleaning Service: Residential 
 
                       
  Start Date:      
                       
Please enter your Driver's License Number or ID Number:

HOME DETAILS:
Size of home:   HOME with   & 

Floor Type(s): (select all that apply)
Tile Wood Carpet Marble Other

Number of People in the household:

Age of all children in household under 18 years of age: (example: boy-2yrs, girl-4yrs)

Number of pets: Please provide details of pets: (example: 1-dog, 2-cats)

Job Requirements: (select all that apply)
Clean Cook Iron Laundry Child Care Infant Care Elderly Care Driver

Special Requirements: (select all that apply)
Bilingual Own Car Travel Other

DAYS/HOURS REQUIRED:
Sunday:   
FROM: TO:
Tuesday:   
FROM: TO:
Thursday:   
FROM: TO:
Saturday:   
FROM: TO:
Monday:   
FROM: TO:
Wednesday:   
FROM: TO:
Friday:   
FROM: TO:


How often do you need Housekeeing/Cleaning Services (Frequency): 
Total Hours: at $11.00 Per Hour +  Service Fee

TOTAL PER WEEK
                       
Comments: 
   
   
   
   
                       
Password:  
* This will be used for you to gain access to your account
** Password must be at least 6 characters, and spaces are not allowed.
  Password:    Confirm  Password:             
     
 
TERMS and CONDITIONS for RESIDENTIAL SERVICES

The employer agrees that at any time during the terms of this agreement the employer will not pay directly or employ any person who has performed services under Aventura Maid Services.
The check will be payable to: Aventura Maid Services. (CASH IS NOT ACCEPTED AT ANY TIME)
This application and your client account number will be effective upon hiring Aventura Maid Services.
 
I accept the Terms and Conditions
     
                       
   
                       
 
Diana Velazco (certified MWBE)

Phone: 954.454.3988
Email: ams@aventuramaid.com


417 NE 2nd Ave
Hallandale Beach, FL 33009