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First Name:

Last Name:

Address:

Address 2:

State:

ZIP:

Mobile Phone:

Email:

How did you hear about us?

Approximate Start Date:

Approximate # of hours per week:

Employment Status:

Currently Employed Currently Unemployed

Seeking:

Live In Live Out Part Time Full Time Temporary Permanent

ID Available:

United States Passport Driver's License Permanent Resident Card

Type of Position (Check all that apply)

Baby Nurse Butler Caretaker Chauffeur Chef Chief of Staff Estate Manager Gardener Governess Handyman Household Manager Houseman Kitchen Assistant Ladies Maid Major Domo Nanny Personal Assistant Property Manager

Rate your skills: Please evaluate yourself on a scale of one to five (one being low ability and five being high ability).

Management Skills:

Administrative Skills:

Organization Skills:

Computer Proficiency :

Housekeeping Skills:

Cooking/Culinary Skills:

Clothing / Personal Care Skills:

Event Coordination Skills:

Property / Grounds Skills:

Household Maintenance Skills:

Child / Elder / Pet Care Skills:

Travel / Concierge Skills:

Vendor Management Skills:

Construction Contract Mgt Skills:

Do you drive?

Yes No

Can you work in a home with pets?

Yes No

Do you smoke?

Yes No

Do you have any Criminal Convictions?

Yes No

Are you legally authorized to work in the U.S.?

Yes No

Have you or will you be receiving the Covid-19 vaccination?

Yes No

Anything you wish to add?

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