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EMPLOYMENT APPLICATION

Job Applicant’s Full Name VILMA A.
Address: Vienna, Va - Zip Code 22181
Cell Phone #: Withhold for now
Work Status Info: Has a valid Resident Card data on file
Has a valid Social Security ID number on file

GENERAL INFORMATION

Are you 18 years or older? Yes (53 years)
If employed, could you submit proof of your legal right to work in U.S. to your employer? Yes
Do you have at least two years of experience as a nanny or domestic worker? Yes
Do you speak English? Yes /If no, list language:
Do you have work references we can talk to? Yes
Do you drive? Yes /State MD/Driver Lic. #: Withhold for now
List driving violations: None upon registering with service
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? Yes
Do you prefer your employer provides you with a vehicle for job-related duties? Yes
Are you CPR certified for infants/children or adults? No - Open to certification if needed
Are you a smoker or a non smoke? Non smoker
How many children will you tend to? 1 or 2
Do you need to bring your child to work with you? No - Children are grown
Do you speak a fluent language other than English? Yes/List language: Spanish
What age group of children do you prefer to work with? New born, toddler up to teen years

DESIRED EMPLOYMENT

Which applies to you? Part-time, perrmanent, live-out and long-term employment
What position applies to you? Nanny, housekeeper, nanny/housekeeper or housekeeper/nanny, day worker

EMPLOYMENT AVAILABILITY/RELOCATION INFO

List days/hours available for work; Mon., Tues., Wed., Thurs. and Fri. from 8:00 A.M. to 12:00/ 1:00 P.M.
List locations are you willing to consider for work: In or near Vienna, Va - May consider Fairfax, Reston and Hearndon
Can you work overtime, if needed? No
Do you want to relocate for work in the U. S.? N/A - List area(s): N/A
If applicable, are you willing to pay travel, lodging & food expenses as part of relocating costs? N/A
If hired, when can you start work? Anytime and within one week of actual start date

DESIRED SALARY & EMPLOYEE BENEFITS

List salary expectations: $16 per hous - Will need a minimum of 20 hours/week - Prefer taxes be withheld from pay each week
List desired benefit’s package: Prefer paid federal holidays and vacation pay

EDUCATIONAL BACKGROUND INFORMATION

Did you graduate from high school in the U.S.? No
If other than U.S., list native country where you went to school: El Salvador
Did you graduate from college? No - If other than U.S., list college:
List type of college degree: N/A
List Major: N/A - Year Graduated: N/A
Students, list area of study: N/A
List person to contact in an emergency: MARGARITA C.

Have you ever been convicted of a felony? No


WORK REFERENCES

Job Applicant’s name: VILMA A.

#1. List the Employer Name: LISA O Tele. Withhold for now
Location: Vienna, VA
Dates worked March 7, 2007 thru Current (Aug. 2011)
List Title Nanny/Housekeeper
List Duties: Child care supervision for 2 children, ages 10 & 13 years along with occasional driving, housecleaning, laundry and light ironing as needed
Reason for Leaving? Vilma will continue to work with this family weekdays Monday thru Friday after 1:00/1:30 p.m. up to 6:00 p.m.

Reference Check Review - Talked to LISA O. on September 4, 2007
Employer’s Comments: Ms. O highly recommends Vilma for employment as a housekeeper and nanny. She said Vilma is wonderful and they do not want to lose her. She commented on her being very reliable, is someone you can fully trust when working in a private home setting and is very satisfied with her work performance. Vilma shows a great deal of initiative when taking on household tasks that’s not even part of her job description.

#2. List the Employer Name: Mona M. Tele. # Withhold for now
Location: Virginia
Dates worked Nov. 2004 thru Nov. 2005
List Title Nanny and Housekeeper - Full time, live-in employment
List Duties: Performed general housecleaning duties, cared for two children, age 8 & 10 years and driving them as needed
Reason for Leaving? Vilma left this job for a live-out position

Reference Check Review - Talked to Mona M. on March 3, 2006
Employer’s Comments: Ms M. highly recommends Vilma for employment as a housekeeper and nanny. She and Vilma ended employment on good terms and will be happy to talk to anyone regarding her employ. You may contact her at her home number or send her an e-mail at: Withhold for now

#3. List the Employer Name: BRIAN B. Tele. #: Not available for comment
Location: Maryland
Dates worked: Dec. 2004 thru Feb. 2006 - Full-time, live-in employment
List Title Nanny and Housekeeper
List Duties: Performed general housecleaning duties and cared for two children, age 8 & 10 years and driving them as needed.
Reason for Leaving? Vilma left this position due to the family not paying her according to the initial agreement.

Additional Comments: We tried several times in February of 2006 to reach Vilma’s employer with no success. Please see Letter of Recommendation shown below that was given to Vilma after she ended her employment with this family.

Letter of Recommendation for Vilma A.
Dated February 25, 2006.

Dear Sir or Madam:

This letter is to provide information on the excellent work that Vilma A. has done for us. She has maintained our household for the past year. Cooking healthy foods and keeping our home clean and maintained. She also has cared for our children with the uttermost care and responsibility. She has gone above and beyond the call of duty working whenever we needed her help. Please contact us with any questions regarding her work ethic.

Sincerely,

Brian B.

#4 List the Employer’s Name: Mr. B. - Tele. #: Location Maryland
Dates worked Nov. 2002 thru Sept. 2003 - Full-time, Live-out employment List Title: Nanny and Housekeeper
List Duties: Child care for three children, ages 6, 7 & 12 years, helped out with housecleaning, laundry and anything else needing to be done around the home.
Reason for Leaving? Mrs. B. was very ill and eventually passed. A family member had taken over job duties and they no longer needed Vilma’s help.

Employer’s Comments: Mr. B. gave Vilma an excellent work recommendation and said she was a big help in helping him and his family while she was in his employ. Anyone may feel free to contact him for additional info if needed.

Vilma worked as a housekeeper/nanny for a temporary job from June through October 2002. She does not have contact information on this employer.

#5 List the Employer Name: Dawn U. - Tele. #:
Location: Maryland
Dates worked: Dec. 1999 thru May 2002
List Title Housekeeper - Full-time, live-out employment
List Duties: Performed general housecleaning duties
Reason for Leaving? No longer needed

Reference Check Review - Confirmed Letter of Recommendation on NOV. 10, 1999

Letter of Recommendation for Vilma A.
Dated May 2, 2002

TO WHOM IT MAY CONCERN:

Vilma A. has worked in my home and office as a housekeeper for the last two and a half years. During that time, she has always been dedicated, loyal and hard working. We never hesitated to leave our home in her care, as she was always extremely honest and trustworthy. Additionally, Vilma has a very ostivie attitude and a kind, pleasant personality, and it has truly been a pleasure having her work with us.

Sincerely,

Dawn U.

#6 List the Employer’s Name: Mr. Z. Tele. #:
Location Maryland
Dates worked: 1989 thru 2002
List Title: Housekeeper and Nanny - Full-time, live-in employment
List Duties: Child care for an infant and later on afer the child started school took on all household chores as well.
Reason for Leaving? The position ended but Vilma still stays in touch with this family on very friendly terms.

Reference Check Review - Talked to MR. Z. on NOV. 19, 1999
Employer’s Comments: Mr. Z. gave Vilma an excellent work recommendation and said that others may contact him if needed. He and his family still stay in contact with Vilma and maintains a very friendly relationship with her saying she is like one of their family members.

If you would like to meet with Vilma A. 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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