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EMPLOYMENT APPLICATION

PERSONAL INFORMATION
Job Applicant Name: ESTHER D.
Home Address: Withholding for now (Silver Spring, Md)
Home Phone #: Same as cell phone
Cell Phone #: Withholding for now

GENERAL INFORMATION
Are you 18 years or older? Yes (Is in her 40s, not a grandmother yet)
If employed, could you submit proof of your legal right to work in U.S. to your employer? Yes (A U.S. Citizen)
Do you have at least two years of recent experience in working as nanny, babysitter, elder care or housekeeper?
Yes Do you speak English? Yes - Fluent
Do you speak a language other than English and if so, please list the language? Yes, Telugu (Understands Hindi very well but does not speak it too well)
Do you have a driver's license and do you have your own vehicle? Yes to having a driver license, no to having her own vehicle
If applicable, list the state you have your driver's license: Maryland
List driving violations and dates if applicable: None
Do you wish to drive child/ren or adult in your vehicle while they are in your care? Yes
If yes, do you have adequate vehicle insurance? No - N/A
Do you prefer your employer provide you with a vehicle for job-related duties? Yes
Are you CPR certified for infants/children or adults and if so give us the certification exp. date? Yes for infants but has recently expired in Sept. 2010
Are you a smoker or a non smoker? A non smoker
If applicable, please let us know how many children you will care for and their ages?
One preferred but may consider two - Infant up to school-age is fine Do you need to bring your child to work with you and if so, please list your child's age?
No - Her four children are all grown as adults and are in college
For elder care or companion care candidates, please briefly describe what you are looking for. N/A

DESIRED EMPLOYMENT
List the type (Nanny, nanny/housekeeper, housekeeper, day worker, elder care, companion care or other) of employment needed and let us know if you are available for a full or part-time, live-in or out, short or long-term or a Summer position.
Nanny or Companion care, full-time, live-in and long-term

EMPLOYMENT AVAILABILITY/RELOCATION INFO
Are you availble for work Monday thru Friday or other days? Only weekdays - Not available on weekends
List the available hours: Up to 45 - 50 hours/week with flexibility as needed: Monday through Friday w/flexible hours
List locations you are willing to consider for work (be specific): In Washington, DC, Northern Virginia area, Montgomery and Prince George's counties in Maryland.
Can you work overtime, if needed? Would like to stay within no more than 50 hours/week but will discuss this topic if needed during interview
Do you want to relocate for work in the U. S. (list locations you will consider)? No
If applicable, are you willing to pay travel, lodging & food expenses as part of your relocating costs? N/A
If hired, when can you start work? Can start immediately as of Oct. 23, 2010

DESIRED SALARY & EMPLOYEE BENEFITS
List salary expectations for a weekly or daily work schedule: $500 to $550 week (45 to 50 hours max.) or if taxed between $600 to $800/week (45 to 50 hours max.) - Rate reflects caring for or supervising 1 child and all duties pertaining to the child's requirements, driving child to/from school/activities in employer's vehicle and cooking Indian meals for family is fine but does not choose to make chapati (bread) - No heavy housework or parent's laundry considered
List desired benefit s package (if offered): Salary mentioned above as well as private bedroom and free meals - Any other benefits mentioned at time of being interviewed by potential employer
If applicable, list live-in accommodations you will consider: Private bedroom, private bath would be nice (but not a must) and anything else offered

EDUCATIONAL BACKGROUND INFORMATION
Did you graduate from high school in U.S.? No
If you graduated from high school in another country other than the U.S., list nation here: Hyberabad, Indian
Did you graduate from college and if so, list the year you graduated and your major: No
Are you a student (list area of study, days/hours of classes)?: Yes but only on weekends - Taking computer class
Have you ever been convicted of a felony or been in jail or prison? No

WORK REFERENCES

LIST WORK REFERENCES (List most recent employer first)
(1) LIST THE NAME OF YOUR EMPLOYER: Withholding for now
LIST EMPLOYER'S PHONE NUMBER: Withholding for now
LIST JOB LOCATION: DC area
LIST DATES WORKED: June 2009 through Oct. 2010
LIST YOUR JOB TITLE: Live-in nanny
LIST JOB DUTIES: Cared for two children, ages 2 and 4 years and performed all duties pertaining to the children's requirements
WHY DID YOU LEAVE THIS JOB? The family needed help on weekends as well as weekdays and Esther had classes on weekends - Esther is still on very good terms with this family and they will give her an excellent work recommendation whenever requested from any future employer. She will provide contact information for this employer once she is accepted employment.
(2) LIST THE NAME OF YOUR EMPLOYER: Withholding for now
LIST EMPLOYER'S PHONE NUMBER: Withholding for now
LIST JOB LOCATION: DC area
LIST DATES WORKED: Worked 1 year during 2008 to 2009
LIST YOUR JOB TITLE: Nanny
LIST JOB DUTIES: Cared for one child, age newborn and performed all duties pertaining to the child's requirements
WHY DID YOU LEAVE THIS JOB? Esther moved to Chicago with another employer - She is still on good terms with this employer and helps them on as needed basis. Also. she will provide contact information for this employer once she is accepted employment.
(3) LIST THE NAME OF YOUR EMPLOYER: Withholding for now
LIST EMPLOYER'S PHONE NUMBER: Withholding for now
LIST JOB LOCATION: Chicago, IL
LIST DATES WORKED: 2005 through 2008 (2.5 years experience)
LIST YOUR JOB TITLE: Live-in nanny
LIST JOB DUTIES: Cared for two children, ages 2 and 4 years and performed all duties pertaining to the children's requirements
WHY DID YOU LEAVE THIS JOB? This family moved out of area and Esther moved back to the DC area with her family - She has no forwarding address for this family.
Esther has had 2 years prior experience as a Certified Nursing Assistant (CNA) about 7 or 8 years ago in a nursing home setting - She is no longer certified in this area.



If you would like to meet with Esther D. in a job interview then contact our company to check to see if she is still available for employment. If she is available then we ask that you SIGN UP with our service by using our online Family Application. See below for this link. Thank you - We look forward to hearing from you!



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