BASIC INFORMATION
Candidate Name
Phone Number
Email
Interviewer
Interview Date
*
ELIGIBILITY CHECK
Lives within 30 minutes of Palm Beach Gardens or Jupiter?
*
Yes
No
Has valid Florida driver's license and their own reliable vehicle?
Yes
No
Authorized to work in the U.S.? Can pass background check?
Yes
No
WORK FIT QUESTIONS
This role requires full-day availability, typically from 8:00 AM to 5:00 PM, with some days running slightly over. Do you foresee any challenges with arriving by 8:00 AM and being available until 5:30 PM if needed?
What interests you about this job?
Any experience in professional cleaning or similar work?
Comfortable driving between 2–4 job sites per day?
Yes
No
How do you make sure you arrive on time despite traffic or car trouble?
CULTURE FIT QUESTIONS
How do you handle things when something goes wrong on the job?
Do you prefer working alone or on a team?
Alone
On a Team
Other
Please explain your preference:
ASSESSMENT & NEXT STEPS
What does "being a reliable teammate" mean to you?
Overall Rating
Communication Rating
Next Step:
Invite for in-person interview
Not a fit at this time
Need additional information
Additional Notes:
Reason for Disqualification:
