Housekeeping Registry Family Questionnaire

Dear Family,

Please complete the following family application.  Our Staff will get back with you within one business day. 

First Name:

Last Name:

Address: 

City:    State: Zip: 

Major Cross Streets:

Are you in a gated community? Gate Code:

Day Phone:     Cell: 

Fax: E-mail: 

Spouse Full Name:

Spouse Occupation:

Your Occupation:

Square footage of home:

Number of bedrooms:

Number of bathrooms:

Any special instructions regarding the care of your home?:
If yes, please specify:

 

Do you have pets?

If yes, type of pet and how many?

Will the housekeeper be in contact with your pets?

How did you hear about us?

 

FAMILY AGREEMENT

I have contacted Nannies & Housekeepers, U.S.A. to help me find household help.  Under the provisions of the Housekeeping Registry program I understand that all reservations must be made through the agency and is based on availability of housekeepers for the time of service.  I will pay the annual membership and booking fees in full and sign the contract before the person begins working in my home. 

I will not attempt to hire anyone Nannies & Housekeepers, U.S.A. sends me under the Housekeeping Registry program without processing all of the necessary contracts through their office.  I will not refer any of the housekeepers to anyone for potential employment without processing the contract and fee through Nannies & Housekeepers, U.S.A.

I understand the Nannies & Housekeepers, U.S.A. has invested in the interviews and background checks of the candidates and I will allow them to act as the referral agency.

If you agree to the terms listed above type "Yes" in the following space: