Applications are considered for all independent contractors, and contractors are treated during the agreement, without regard to race, color, religion, sex, national origin, age disability, or any other prohibited basis of discrimination as provided under applicable laws.
 

Background Information










Additional Information

Are you legally eligible for work in the USA?
yesno
Have you ever contracted with Almighty Cleaning, Inc. before?
yesno

Do you have liability insurance?
yesno
If yes, please attach proof of insurance (PDF, PNG or JPG file types accepted)

Do you agree to obtain all licenses that may be required to do business as an independent contractor or self employed person?
yesno
Do you understand that as an independent contractor, you would not be eligible for unemployment benefits at the end of any contract with Almighty Cleaning, Inc.?
yesno
Do you understand that, as an independent contractor, you would be responsible for payment of any and all state and/or federal income, Social Security, self-employment taxes, salary, sales and use taxes, unemployment taxes, and payroll taxes and you will receive a form 1099 for services provided to Almighty Cleaning, Inc.?
yesno

Contracting Request



Previous Positions

Please begin with the most recent position.

Position 1



Dates of Employment
From To






Position 2



Dates of Employment
From To






Position 3



Dates of Employment
From To






Professional References



Existing Contractual Relationships

Contract 1









Contract 2









Contract 3









Signature/Certification

I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for immediate denial of my appointment or removal from consideration or, if I have entered into a contract with Almighty Cleaning, Inc., for immediate termination of that contract. I authorize Almighty Cleaning, Inc. to make any necessary inquiries and investigations into my references or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Almighty Cleaning, Inc. by any of the services, references, or employers listed on this application.
I also hereby release from liability Almighty Cleaning Inc. and its representatives for seeking, gathering, and using such information.
THIS IS NOT AN APPLICATION FOR EMPLOYMENT. I understand and agree that if this application is accepted, my status will be that of an independent contractor, and as such, I will be solely responsible for all tax liabilities pertaining to monies received in the course of the services I perform.
If I am retained by Almighty Cleaning Inc. as an independent contractor I will:
· Not be entitled to workers compensation benefits.
· Not be entitled to unemployment benefits unless unemployment coverage is provided by me or other entity
· Be obligated to pay federal and state income tax on any monies paid pursuant to the contract relationship.
· Be required to provide professional and liability insurance

I represent and warrant that I have read and fully understand the foregoing, and that I seek to become an independent contractor under these conditions.