Employment application

Full application & background check consent.

About 10 minutes. Everything here is required before a paid trial shift — including the Pennsylvania State Police (ePATCH) record check every teammate completes.

Just want to say hello first? Use the quick form instead.

Your information

Legal first name *

Legal last name *

Email *

Phone *

Street address

Apt / unit

City

State

ZIP

Eligibility

I am 18 years of age or olderI am legally authorized to work in the United StatesI have reliable transportation to job sitesI have a valid driver's license

How far are you willing to travel? (miles)

Availability

Days available *

Preferred hours

Hours per week

Earliest start date

Experience & references

Cleaning experience

Work history

References

How did you hear about us?

Anything else we should know?

Background check consent (Pennsylvania State Police / ePATCH)

ViraBusters teammates work inside clients' homes, so every hire completes a Pennsylvania State Police Request for Criminal Record Check (form SP 4-164) submitted through ePATCH, with the reason for request marked Employment / Screening. The fields below are exactly what that state form asks for. They're used only for this check — and we do not collect your Social Security number here.

Name of subject of record check — first, middle, last
Maiden name and/or aliases
Date of birth (MM/DD/YYYY)
Sex and race — required by the state form to match records
Place of birth and recent addresses (helps us confirm a match)
Your signed authorization below

ViraBusters pays the $10 state fee. Under 18 Pa.C.S. 4904(b), knowingly providing false identity information to obtain another person's criminal history record is a crime.

Legal first name *

Middle name

Legal last name *

Other names used (maiden, alias, prior married)

Date of birth *

Sex

City of birth

State / country of birth

Race

Addresses for the past 7 years

I authorize VIRABUSTERS LLC to request a Pennsylvania Access To Criminal History (ePATCH) criminal record check from the Pennsylvania State Police, and to obtain and review the results as part of my application for employment. I certify that the information I've provided is true and complete to the best of my knowledge, and I understand that any offer of employment may be contingent on the results of this check. I understand this consent applies to my application and continued employment with ViraBusters.

I have read and agree to the background check authorization above. *

Type your full legal name to sign *

Signed 8/24/2026. Typing your name creates a legally binding electronic signature.