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Maid By Nature

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Are you submitting this application for yourself or a loved one *

For Myself

For Someone else

First name

Last name

Phone

How did you find out about us?

Which days are you available?

Mon

Tue

Wed

Thu

Fri

Sat

Street Address (address where cleaning will take place)

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Describe any specific challenges or circumstances you are currently facing that make it difficult for you to maintain a clean living space

Please share why you believe you or the individual you are applying for could benefit from free cleaning services.

Are you currently receiving assistance from any other organizations or services? *

Yes

Do you have a support system, such as family, friends, or neighbors, who can assist you with household tasks once you've received a fresh start? *

Yes

Not needed, I can do it

Are you willing to provide consent for our team to enter and clean your home? *

Yes

Can we share your story (anonymously) for promotional or awareness purposes via photos or video? *

Yes

Is there anything else you would like to share with us that you feel is important for us to know?

I accept terms & conditions

Thanks for applying to volunteer with us! We'll get back to you soon.

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