Employment Form - Safari Contract Cleaners

Step 1 of 20 - Section 1: You, On Paper (Basic Info)

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Let's Keep It Simple.

Full Name*

First Last

Full Address*

Street Address City State ZIP Code

Phone Number

Email Address*

Let's Keep It Simple.

Preferred Contact Method*

So, we don't bug you the wrong way how do you prefer we get in touch?

I'm a texter.

Call me directly.

Shoot me an email.

Carrier pigeon, smoke signal-whatever it takes. I want this job!

Let's Keep It Simple.

Found us*

We're glad you found us - mind sharing how?

A friend or family member told me

I saw a job online (Indeed, ZipRecruiter, etc.)

Facebook / Social Media

Local Flyer / Advertisement

Other

Referral Name

If a friend referred you, feel free to give them a shoutout!

Let's Keep It Simple.

Curious About Safari

Totally optional, but we'd love to know:

LET'S FIND A SCHEDULE THAT FITS YOUR LIFE.

We know everyone has different goals. Some people are looking for low-stress, part-time work. Others want more hours or leadership opportunities. Wherever you’re coming from, we want to understand what you’re hoping for.

Ideal Days*

What days are you ideally looking to work?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Start Date

Your Preferred Start Date:

LET'S FIND A SCHEDULE THAT FITS YOUR LIFE.

Ideal Location*

Your Ideal Job Location:

Transportation*

Do you have reliable transportation to get to job sites?

Yes

Sometimes

Not at the moment

LET'S FIND A SCHEDULE THAT FITS YOUR LIFE.

Schedule*

What kind of schedule are you hoping for?

LIGHT PART-TIME (5-10 HOURS/WEEK).........Just a few low-stress hours to earn extra money and keep life flexible.

MODERATE PART-TIME (10-18 HOURS/WEEK).........A consistent routine with just a few low-stress hours most nights.

STEADY PART-TIME (18-25 HOURS/WEEK)........Regular work that still stays under full-time just the right balance.

FULL-TIME (35-40+ HOURS/WEEK).........Looking for a full-time role, possibly including leadership or supervisor responsibilities.

I'm open to all opportunities. Just want a good- happy to discuss any available roles and hours.

Let’s find a position that fits your life.

Everyone works a little differently—and that’s a strength. Tell us what kind of role helps you bring your best.

Sounds Like You*

Which one sounds most like you?

I like working on my own (I'm a reliable independent cleaner who takes pride in doing things right - even without anyone watching.)

I do my best in a team setting (I like working with others - being supported and doing my part to support the team.)

I'm comfortable with either (I adapt to the job and stay focused, whether I'm solo or part of a team.)

Let’s find a position that fits your life.

Leadership Role*

How do you feel about a supervisor role (now or later)?

I'm interested - leading others and growing sounds like the next step for me

Maybe in the future - not now, but i'm open to learning

I'd rather focus on being a cleaning professional - i want to master my work without supervising others

Let’s find a position that fits your life.

Money talk (we know it’s awkward, but important).
We wish we could offer everyone a huge raise and unlimited vacation. Reality? Most cleaning roles have a set hourly rate (with Paid Holidays/PTO and other benefits)—but some roles, like supervisors or tougher work environments, pay more.

Desired Wage*

Just to get a sense of what you're looking for:

Let’s Talk Cleaning.

At Safari, our Champions of Cleaning take pride in a job done right. Whether you’ve cleaned before or are just looking for steady work where you can grow, we’d love to learn more about you.

Cleaned Before*

Have you worked in cleaning before?

Yes, I love cleaning!

Yes, I've actually worked for Safari in the past!

Not exactly, but I've done similar work

No, but I'm ready to become a Champion of Cleaning

Worked here before

Worked at Safari Before? If yes, when?

Cleaning Experience

Got cleaning experience you'd like to tell us about?

Safari Job Requirements – Let’s Make Sure We’re Aligned.

We want to be upfront about what the job includes so you can feel confident it’s the right fit for you:

Able to lift 40 lbs.
Able to maintain physical activity for 2 - 4 hour intervals.
Able to rotate upper body 180 degrees (90 degrees left 90 degrees right).
Able to use stairs.
Flexible in all major joints.
Able to use both arms over head.
Able to maintain balance while looking up.

Perform Physical Duties*

Can you, with or without reasonable accommodation, perform the physical duties of the job? (If you're unsure about the job's physical requirements, feel free to ask before answering.)

Yes

Need to Discuss with Interviewer

Tell us about your other experiences.

Every job teaches us something. Even if it wasn’t cleaning, we’d love to hear about what you’ve done—and the skills you bring to the table. It helps us understand your story and how you can shine here at Safari.

Your Previous Employer 1

This is your chance to brag a little. Tell us about the work you’ve done before—every skill and every role helps us understand the strengths you’ll bring to Safari.

Company Name*

City/State*

Start Date*

End Date*

Job Title*

Reason For Leaving

Type Of Work*

Resume

Attach Resume

Max. file size: 128 MB.

Previous Employers*

Have more skills you want to highlight? Add additional employers below.

Your Previous Employer 2

Company Name

City/State

Start Date

End Date

Job Title

Reason for Leaving

Type Of Work

Your Previous Employer 3

Company Name

City/State

Start Date

End Date

Job Title

Reason for Leaving

Type Of Work

Tell us about your other experiences.

Education

You've already invested in yourself - through school, military service, or on-the-job training, let us know what education has shaped you. Share it here so we can celebrate what you bring to the team.

What you’ve done matters—but who you are matters more.
We can train skills.

We care more about your character and mindset.

Reference Name

People who believe in you matter. If there is someone who has seen your work ethic shine, we'd appreciate a reference.

Reference Phone Number

How Do you know them?

If this sounds like you, you’re in the right place.

At Safari, we’re not just hiring warm bodies—we’re building a team that takes pride in doing the job right.

Here’s What We Value

Work hard and give your best effort.

Show up and be true to your word.

Help out—even when it’s “not your job”.

Communicate with respect and empathy.

Stay positive, patient, and professional.

Build trust and relationships that matter.

Our Values*

Would it be unfair to expect these values from someone who wants to be part of our team?

No, that sounds like a great fit for me

I'd like to grow into that

I'm not sure yet

Affirmative Action Data Record.

Why we’re asking:
As part of our Affirmative Action Program, Safari Contract Cleaners complies with government reporting and recordkeeping requirements. Periodic reports are made to the government on the information below.

• Completing this section is 100% voluntary
• Choosing not to answer will not impact your application in any way
• All responses are kept confidential and are not part of your employment file

Affirmative Action Data Record.

We treat all employees equally—regardless of race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Age*

Are you 18 or older?

Yes

Gender*

Male

Female

Other

Prefer not to say

Authorized In US*

Are you authorized to work in the U.S.?

Yes

Ethnicity*

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Affirmative Action Data Record

Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

Employees are treated during employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.

The purpose for this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Data Record is optional. If you choose to volunteer the requested information please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or Personnel file.

A Few Important Legal Notes.

We work with banks, defense contractors, and medical clients who rely on us to uphold high standards of trust and security. That’s why we run background checks early in the process—for the safety of our customers, our team, and you.

A Few Important Legal Notes.

Applicant Statement & Authorization

This is the legal fine print (we kept it readable):

By submitting this application:

I authorize Safari Contract Cleaners—or anyone acting on our behalf—to conduct background checks as needed for employment decisions. This may include:
– Criminal history
– Consumer reporting agency reports
– Driving records (MVR)
– Workers’ compensation claim activity
I release Safari Contract Cleaners and those providing information from any liability related to this process (including defamation claims).
I understand that if hired, my employment will be “at-will”—which means I may resign or be terminated at any time, with or without cause or notice, for any lawful reason. I also understand this at-will relationship cannot be changed unless confirmed in writing by an authorized executive of Safari Contract Cleaners.
I understand that this application will remain active for 6 months. After that, I may need to reapply.
I understand that false, misleading, or incomplete information on this application or during the interview process may result in disqualification or dismissal, even after hire.
I agree to follow all company policies, procedures, and expectations if hired.
I understand that I may be required to complete a pre-employment or random drug screening as a condition of employment.
I authorize Safari Contract Cleaners to use a photocopy or digital copy of this section of the application to request any relevant background information.

Please digitally sign your full name below to confirm you understand and agree:

Signature of Applicant*

Please enter your full name to electronically sign this application.

Date*

Date Of Birth*

Month

Day

Year

(for background check only)

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Age Calculated

Age Under 18 Sorry... You must be 18+ to submit this form for employment. Please check your birth date.

Your privacy matters. All background information is handled securely and confidentially.