Domestic Staffing Client Form

Domestic Staffing - Client Form
Employer Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone Number *

- Area Code Phone Number
Cell Phone Number *

- Area Code Phone Number
Work Number

- Area Code Phone Number
Fax Number

- Area Code Phone Number
E-mail *
Preferred Contact Method

Email Cell Phone Home Phone
Occupation
Birthday Month
Position Preferences
Type of Domestic Staff

Executive Housekeeper Full time more than 35 hours per week Part Time Housekeeper Estate Manager Household Manager Family Assistant Chef Personal Assistant
Other
Living Arrangements

Live out Live in Undecided
If Live In please explain living arrangements offered:
Anticipated Employment Date *
How Many Days Per Week?
Estimated Total Hours Per Week *
Please list anticipated schedule: *
Please list any flexibility you have pertaining to the schedule as well as any flexibility you might need
Position Details
Home Square Footage
Number of Bedrooms
Number of Bathrooms
Levels
Please list the skills/experience required:
Please describe your ideal candidate:
Responsibilities:

Booking Appointments Managing Principal's Emails Preparing papers for meetings Maintaining Calander Answering calls and handling queries Scheduling Contractors/Household employees Planning, organizing and managing events Ordering stationery and office equipment conducting research on the internet Paying Bills Organizing Travel Typing documents Grocery Shopping Managing a budget Running Errands Managing projects Pet Care Preparing presentations Travel with Principal Laundry/dry cleaning Cooking Full Charge Housekeeping Organizational Projects Shopping for/Ordering Household Supplies
Any other responsibilities:
Will Driving Be Required On The Job?

Yes No
If Yes, Roughly How Many Miles Per Day?
Will You Provide A Vehicle For Use While On The Job?

Yes No Undecided
Does This Position Require Travel?

Domestic International None
Description of travel required:
What Is The Minimum Length Of Commitment expected ? *
Compensation Information
What Hourly Wage Are You Offering? *
What Is The Gross Annual Salary You Are Prepared To Offer? *
Please Check Any Benefits You Offer

Paid Vacation Paid Holidays Paid Sick Days Health Insurance Dental Insurance Health Club Membership Use of Family Car Mileage Reimbursement Other
Please Describe Any Benefits
Any Additional Information You Would Like Us to Know
How Did You Hear About The Nanny Joynt? *
If You Were Referred To Us From A Friend Please Tell Us Their Name So We May Send Them Thanks!
I certify the information provided in this application is true and correct to the best of my knowledge.

I understand The Nanny Joynt is a referral service for household employees and The Nanny Joynt does not employ the caregivers. The Family will be the caregiver's employer.

I give The Nanny Joynt authorization to share the information on this application with prospective candidates for the purpose of finding a caregiver for your family.
Should be Empty:

Domestic Staffing - Client Form

Position Preferences

Position Details

Compensation Information