Please complete the following family application. We cannot begin searching for the best nanny, housekeeper, caregiver or household manager for you until we receive this information back. We look forward to hearing from you.
NANNIES & HOUSEKEEPERS U.S.A. is a full service employment and placement agency specializing in nannies, housekeepers and household managers. We offer full-time, part-time and one-time placements. All of the applicants are meticulously screened. We include a criminal and social security check as well as check all work references and personal references. All of the applicants must be legal to work in the United States and must provide proper documentation.
Answer each applicable question in the block of space provided below the question. Use the TAB key to move from block to block. Use the mouse to position your cursor in the first answer block.
The answer blocks will expand to accommodate your answers.
Full Name:
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Current Address:
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Today’s Date:
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What position are you looking to fill? Nanny? Housekeeper? Nanny/Housekeeper? Other?
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Day Phone:
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Cell Phone:
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FAX Phone:
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E-Mail Address:
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Spouse’s full name:
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Your occupation:
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Spouse’s occupation:
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When do you need your new employee to start?
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Do you require a full-time or part-time employee?
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Do you require a live-in or live-out employee?
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Age preference of employee?
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Working hours for employee?
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Days off of employee?
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Gross weekly salary you are offering?
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How many children do you have? What are their ages and gender?
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If any of the children are in school, list the hours and days of the week they attend.
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Are you expecting more children in the next year? If so, when and how many?
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Do any of your children require special care, medication, or therapy?
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If you’re considering a nanny, will she be expected to cook for the children?
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If you’re considering a nanny, will she be expected to cook for the family?
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Does you family have any special dietary considerations?
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Describe your residence? private home, apartment, townhome, other.
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Approximate size of the home in square feet.
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If live-in, will employee have separate bedroom?
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If live-in, will employee have separate bathroom? If no, who will share?
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If you do provide a separate living area for employee, please describe? Separate wing, private entrance, apartment above garage, carriage house.
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Do you have any other people who reside in your home? If so, please list them.
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Will employee have the use of a car for work and personal use? If yes, is it a 3rd car designated only for the nanny?
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Will employee travel with you? If yes, when and where?
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Do you have any pets? If yes, please list them.
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How many employees have you had in the past 3 years? How long did they stay? Where were they from? Why did they leave?
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Please describe favorable/unfavorable experiences with previous employees.
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List qualities that you are looking for in an employee. (i.e. swimmer, athletic, college background, etc.
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Briefly describe the job description for the employee you are seeking.
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How did you hear about us?
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Permanent Placement Fee Agreement
1. SERVICES:
At the clients’ request, Nannies & Housekeepers U.S.A. will seek out, recruit, research and screen appropriate candidates for a position. Nannies & Housekeepers U.S.A. acts only as an employment broker and does not hire or employ any employee. The employee is to be hired, employed, and paid by client only.
2. PLACEMENT FEE & GUARANTEE:
The Agency fee is 15% of the candidate’s gross annual salary. If for any reason the candidate’s employment terminates in the first year, you will receive a credit to apply toward your next search with Nannies & Housekeepers U.S.A. as follows:
- Within 1 – 60 days: Client will receive a credit towards one future search of seventy five percent (75%) of the original fee paid.
- Within 61-120 days: Client will receive a credit towards one future search of fifty percent (50%) of the referral fee paid.
- Within 121 – 365 days: Client will receive a credit towards one future search of twenty five percent (25%)
Permanent Part Time placements will be billed at a 20 hour per week minimum. Client should understand that the period of coverage considered is not only to determine the employer’s satisfaction with the employee, but also for the possible contingency that may occur which would cause the employee to resign in the future for reasons not necessarily under his/her control. The agency does not refund or transfer fees or credits under any circumstances.
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TEMPORARY PLACEMENT PLANS
One Time Fee: $50.00
One Week Placement: $150.00
Two Week Placement: $300.00
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FAMILY AGREEMENT
I have contacted Nannies & Housekeepers U.S.A. to help me find household help. I have reviewed the fee options and agree that if I select a candidate to hire from Nannies & Housekeepers U.S.A., I will agree to pay the fee in full and sign the contract before the person begins working in my home. A deposit of 50% is due to Nannies & Housekeepers USA upon signing agreement and the balance is due to Nannies & Housekeepers USA five (5) business days prior to applicants first day of work.
I will not attempt to hire anyone Nannies & Housekeepers U.S.A. sends me to interview without processing all the necessary contracts through their office. I will not refer any of the applicants I interview to anyone for potential employment without processing the contract and fee through Nannies and Housekeepers U.S.A.
I understand that 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 placement referral agency.
If you agree to the terms listed above type "Yes" in the following space:
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| Thank you for taking the time to complete this application.
NANNIES & HOUSEKEEPERS, U.S.A. |
