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Domestic Staffing Agency Los Angeles

Apply for a Job in Los Angeles, Beverly Hills, Malibu, Pacific Palisades

Applicant Registration

Please tell us about yourself: * denotes a required field.

First Name:
Middle Name:
Last Name:
Known by other name? List all:
Referred by:
Email:
Address:
City:
State:
Zip Code:
How long have you lived there?
Previous address:
Dates at previous address:
Home Phone:
Work Phone:
Cell Phone:
May we call you at work?
Marital Status:
Name of Significant Partner:
Alternate contact person:
Name:   
Number: 
Place of Birth:
    Driver's License State Issued:
Is your Drivers License current?
Yes No
Date of Birth:
Any Arrests?
Yes No
Are you a U.S. citizen?
Yes No
Do you drive? Do you own a car?
Make of car:
Model of car:
Year of car:
Any accidents?
Yes No
Clean driving record?
Yes No
Are you in good health?
Yes No
Allergic to:
Cats
Dogs
Neither
I will work with:
Cats Dogs Neither
Do you smoke?
Yes No Occasionally
Do you drink alcohol?
Yes No Occasionally
Emergency name/address/phone:
Relation to you:
Driving on the job:
Can drive:
Limousine
Sports Car/Stick Shift
Luxury Car/Automatic
Have you ever been convicted of
"Driving Under the Influence?"
If yes, please explain:
Have you ever been arrested or convicted for theft, embezzlement, or any other criminal activities? (either misdemeanor or felony)
If yes, please explain:
Are you willing to work with a smoker?

Education:


Education: (Select all that apply)
High School
College
Trade School
Special Training/Classes
On The Job Training
Other
Skills: (List all)
Are you currently in school?

If yes, which institution?
Name of High School:
High school location:
Name of College/University
Majored in:
Degree achieved:
Medical skills and certifications:

Job Preferences:


Position applying for: (Select all that apply)

Estate Manager/Majordomo
Personal Assistant
Chef
Couple
Butler
Cook
Butler/Valet
Chauffeur/Driver
Security

Gardening/Landscaping
Airplane or Yacht Steward
Home Organizer
Governess
Nanny
Baby Nurse
Childcare
Estate Caretaker
House Keeper/Cook

House Keeper/Nanny
Housekeeping
Houseman/Handyman
Laundress
Companion/Elderly Care
Party Help
Licensed Nurse
Certified Nurses Aid

Male Attendant
Day Maid
Move In/Out Cleaning
Packing
Training - Current Staff
Training - Cooking
Consulting - All Aspects
Other:

Serving Style:

Room & Board:

Salary Range or Hourly Rate:

Full / Part Time:
Days off:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Qualifications:

Years experience in private residence:
In what positions?
Experience in other fields: (Select all that apply)
Restaurant
Hotel
Private Airplane
Yacht
Other
Computer skills:
(List knowledge of)

Move In/Out Experience: (Select all that apply)
Packer
Day Maid
Organizer
Move In/Out Cleaning
Buying Supplies
Stocking Household
Working with Vendors
Flower Arrangements:

Consulting / Training: (Select all that apply)

Languages: (Select all that apply)
Training - Cooking
Training - Staff
Training - All household skills
Training - Some household skills
Training - Flower Arrangements
Training - Other
Consulting - All aspects
Consulting - Some aspects
Events/Party Planning - All
Events/Party Planning - Some
Consulting - Other
English
Spanish
French
German
Chinese
Japanese
Italian
Other

Type of Cooking: (Select all that apply)

Licenses or Certificates: (Select all that apply)
Gourmet
Continental
International
Healthy
Zone Cooking
Macrobiotic
Low Carb - Protien
Medically Restricted Diet
Plain
Plain American
Mexican
Asian
Other
None
Baby Nurse
Male Nurse/Attendant
Companion
Registered Nurse
License to carry (security)
Licensed Vocational Nurse
Certified Nurse's Aid
CPR
Other

Knowledge of Wine:

Are you willing to relocate?
Yes No

Are you willing to travel with the job?
Yes No

Are you willing to work in a home with children?
Yes No

What ages?

Will you do laundry and ironing?
Yes No

Will you wear a uniform?
Yes No

Have we placed you before?
Yes No
If so, where?
Are you employed now?
Yes No
When can you start work?

Employer 1: (1 of 4 References)

Employer:
Company name & address:
Business Phone:
Start date:
End date:
Salary:
Ages of children:
House/property size - sq.ft. / land size:
Your title:
Your duties:
Reason for leaving this job:

Employer 2: (2 of 4 References)

Employer:
Company name & address:
Business Phone:
Start date:
End date:
Salary:
Ages of children:
House/property size - sq.ft. / land size:
Your title:
Your duties:
Reason for leaving this job:

Employer 3: (3 of 4 References)

Employer:
Company name & address:
Business Phone:
Start date:
End date:
Salary:
Ages of children:
House/property size - sq.ft. / land size:
Your title:
Your duties:
Reason for leaving this job:

Employer 4: (4 of 4 References)

Employer:
Company name & address:
Business Phone:
Start date:
End date:
Salary:
Ages of children:
House/property size - sq.ft. / land size:
Your title:
Your duties:
Reason for leaving this job:


Additional comments:
Anything else you want us
to know to assist you?


My resume is:
Attached (see below)
I will email it
I will fax it


Attach resume:
MICROSOFT WORD OR PDF ONLY

Terms & Conditions: I understand I am submitting the above information voluntarily to be used for any background check that might be required
and I authorize DDON-International Services Agency and its agents or assigns to conduct such background check.


 

Free Consultation Available:

Send your resume and photo here

For a free consultation contact our office at 310.278.4470.

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