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Contact us

Join Our Pro Network

Privacy Policy

Terms of Service

BOOK NOW

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E-Consent Legal Form

*

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Social Security Number

For background check

Phone

(###)

###

####

Email

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

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

Yes

No

Do you have a valid driver's license? *

Yes

No

Driver’s Licence #

State Issued

Do you own or have access to reliable transportation? *

Yes

No

Reference #1

Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Relationship *

Reference #2

Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Relationship *

Background Check Authorization

I authorize Proglow to conduct a background check, which may include criminal history, driving record, and employment verification. I understand that this information will be used solely for determining my eligibility as an independent contractor cleaner.

Signature *

Date *

MM

DD

YYYY

Acknowledgment Checkbox *

I confirm that the above information is true and that I authorize ProGlow to conduct a background check

Yes

Contractor Acknowledgment

I understand this is an independent contractor position, not employment. I am responsible for my own taxes, insurance, and compliance with applicable laws. I will provide my own cleaning supplies and equipment unless otherwise agreed.

Signature *

Date *

MM

DD

YYYY

Acknowledgment Checkbox *

I understand this is an independent contractor role. I’m responsible for my own taxes, insurance, and supplies

Yes

Thank you!

ProGLow Cleaning Concierge

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