As Needed Babysitter, Housekeeper or Petsitter
First Name: *
Your answer
Last Name: *
Your answer
E-mail: *
Your answer
Street Address:
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City in Miami-Dade County: *
i.e., Coral Gables or Pinecrest or Aventura
Your answer
Zip: *
Your answer
Cell Phone: *
Your answer
Home Phone:
Your answer
Start date and time candidate is to report to work. *
MM
/
DD
End date and time candidate is to report to work. *
MM
/
DD
Date(s) and Time(s) for candidate needed for more than one day:
i. e., Dates January 15 - January 23 from 9am - 5pm
Your answer
Job Description: *
Select all that apply
Required
Answer the next questions per your specific needs.
The empty box below is for office use.
Your answer
Please provide name, age, and gender of child(ren):
Your answer
Please provide number and breed of pets:
Your answer
Please provide square footage of house:
Your answer
What requirements do you require the employee to posess?
Check all that apply - be mindful of your needs.
If dietary laws, which kind?
Your answer
If pets, please list the employee’s responsibilities with the animal(s)?
Your answer
What other qualifications do you require?
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Please list any disqualifying factors?
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Family Dynamics:
Check all that apply.
Turn by turn directions to your house/interview location: *
If applicable, please include parking instructions (i.e., valet at building)
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Location of public transportation:
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How did you learn about Class Act Nannies, LLC?
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