Live In Client Application Form
First Name: *
Your answer
Last Name: *
Your answer
Street Address:
Your answer
Zip: *
Your answer
City in Miami-Dade County: *
i.e., Coral Gables or Pinecrest or Aventura
Your answer
E-mail: *
Your answer
Cell Phone: *
Your answer
Home Phone:
Your answer
Job Description: *
Select all that apply
Required
What position are you looking to fill? *
Select all that apply
Required
List Days of Work Schedule *
i.e., Monday - Friday
Your answer
List Hours of Work Schedule *
i.e., 9am-5pm
Your answer
Child(ren) or Elderly Person:
please provide name, age, and gender
Your answer
What household duties do you wish the employee to perform?
Check all that apply - be mindful of your needs.
What requirements do you require the employee to possess?
Check all that apply - be mindful of your needs.
If dietary laws, which kind?
Your answer
If pets, what kind?
Your answer
If pets, please list the employee’s responsibilities with the animal(s)?
Your answer
If yes, what are your typical travel destinations?
Your answer
What other qualifications do you require?
Your answer
Please list any disqualifying factors?
Your answer
Family/Job Dynamics:
Check all that apply.
Which holidays would the employee have off?
Your answer
What is the salary range PER WEEK for live in? *
Your answer
General preference of interview days and times: *
Your answer
Turn by turn directions to your house/interview location: *
If applicable, please include parking instructions (i.e., valet at building)
Your answer
Location of public transportation:
Your answer
How did you learn about Class Act Nannies, LLC?
Your answer
When do you need the candidate to begin employment? *
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