Application Form

Iva Cleaning is always looking for reliable, energetic and hard working people to join the team.

We can offer you part of full time job (flexible working hours)
*minimum requirements:

  • English
  • UK work permit
  • Proof of ID & address

Please fill the form below and we will contact you a soon as possible.

Surname *

Forenames *

Address *

Post code *

Email Address *

Date of Birth *

Nationality *

Tel Home *

Tel Mobile *

Nat Insurance No *

Tax Reference *

Are you entitled to work in UK? *

employedself-employedwork permit holderdependant of person who is entitled to work in the UK

Marital status *


Education & Qualifications

From - To *

Name and address of school, university or other training body *

Qualifications obtained *

Employment history (Please complete in full)

From - To *

Name and address of employer *

Job title and duties *

Start/finish salary *

Reason for leaving *





Flowering *

Childcare *

Cloth Rep.*

Gardening *

Babysitting *

Pets *

Health details

Do you have a physical or mental impairment which has a substantial and long term effect on your ability to carry out day to day activities? *

Please specify any special arrangements for work associated with any impairment. *

Please list all absences from work in the past 12 months and the reasons for such absences. *

Please list any diseases, disorders, allergies, muscular or musculoskeletal injuries from which you have suffered or do suffer. *

Please detail any form of medicine, drugs or treatment you are currently and/or regularly receiving. *

Have you ever been convicted of a criminal offence in the UK or abroad? *

If yes, please give details and date(s)


Monday * -

Tuesday * -

Wednesday * -

Thursday * -

Friday * -

Saturday * -

Sunday * -

Your bank details

Name of the bank *

Sort code *

Account number *

Full name of holder *

What’s the level of your English? *

Contact in case of emergency

Name *

Tel Mobile *

Address *

Tel Home *

Please attach the following documents to your application:

Copy of passport and visa page *

Copy of your letter from the Home office confirming your immigration status *

Copy of your registration with the Ireland Revenue *

Copy of your National Insurance Number *

Two copies of utility bill and/or bank statement *

Two written references from previous employers *

Please Note : Acceptable file types - .jpg, .png, .pdf, .doc


(please read this carefully before signing this application)

I confirm that above information is complete and correct and that any untrue or misleading information will give Iva Cleaning Services Ltd the right to terminate any contract offered.

Signed *

Date *