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EMPLOYMENT APPLICATION
PERSONAL INFORMATION
List Job Applicant's Name: ELIZABETH L.
List Home Address: Silver Spring, Maryland
List Home Phone #: Withholding for now
List E-mail Address: N/A
GENERAL INFORMATION
Are you 18 years or older? Yes (50s)
If employed, could you submit proof of your legal right to work in U.S. to your employer (Exp. a Resident Card, Work Permit or Student Visa)? Yes - A U.S. Citizen
Do you have at least two years of recent experience as a nanny or domestic worker? Yes
Do you speak English? Yes
Nanny and housekeeper
Do you speak a fluent language other than English and if so, please list language(s)? N/A
Do you have a driver's license and do you have your own vehicle? Yes to both questions
If applicable, list the state you have your driver's license and the expiration date:
List driving violations and dates if applicable: No accidents
Do you wish to drive children or an adult in your vehicle while they are in your care? Yes, but will need additional pay on top of reg. weekly salary for gas mileage reimbursement expense? Yes - Will discuss prior to hire
If yes, do you have adequate vehicle insurance? Yes
Do you prefer your employer provide you with a vehicle for job-related duties? Perhaps
Are you CPR certified for infants/children or adults and if so give us the certification exp. date? No but open to getting certified if course is employer-paid
Are you a smoker or a non smoker? Non smoker
If applicable, please let us know how many children you will care for and their ages?
One or two, new born up through teens
Do you need to bring your child to work with you and if so, please list your child's age? No children of her own
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 full-time, part-time, live-in or out, short or long-term or a Summer position
First choice, Nanny or nanny;/housekeeper
Second choice, Housekeeper
Full-time, live-in (5 days only and off weekends), live-out and long-term employment
EMPLOYMENT AVAILABILITY/RELOCATION INFO
If hired, when can you start work? ASAP - Immediate employment is needed
List the days/hours you are available for work: Monday through Friday or Tuesday through Saturday with two days/off per week - Hours, varies but no more than 40 hours/week for live-in or live-out (May consider over 40 hours/week at the rate per hour listed below for nanny/housekeeper or housekeeper)
List locations you are willing to consider for work: Maryland areas including NW in DC, Bethesda, Chevy Chase DC, Chevy Chase Md, Clarksburg, Kensington, Gaithersburg, Potomac, Rockville, Silver Spring, and surrounding area, Alexandria, Falls Church and perhaps other areas in Virginia.
Can you work overtime, if needed? Maybe on occasion for live-out and yes to live-in with extra pay
Do you want to relocate for work in the U. S. and if so, list locations you will consider for employment? No
If applicable, are you willing to pay travel, lodging & food expenses as part of your relocating costs? N/A
DESIRED SALARY & EMPLOYEE BENEFITS
List salary expectations for an hourly work schedule and duties you will perform:
Full-time, live-in or live-out - Nanny caring for one or two children and their requirements, driving them to/from school/activities starting at $13/hour plus reimbursement for gas mileage used
Nanny/Housekeeper or Housekeeper helping out with one or two children, driving them to/from school/activities, keeping home in an orderly manner, housecleaning, family laundry and cooking meals (reading a recipe) is $15/hour plus reimbursement for gas mileage used (Can work additional hours over 40 hours if needed but paid extra at per hour rate)
List desired benefit's package: Paid federal holidays, one or two week's paid annual vacation
If applicable, list live-in accommodations you will consider: N/A
EDUCATIONAL BACKGROUND INFORMATION
Did you graduate from high school in the U.S.? No
If you went to school in a country other than the U.S., indicate country: Sierra Leone, Africa
Did you graduate from college: No
List the year you graduated: N/A
List the area of study and the type of degree you have: N/A
List the location of the educational institution? N/A
Are you currently a student? No
If so, please list your area of study, the days and hours of your classes: N/A
Please list a person's contact name and phone number in case of an emergency: Name/Phone #: Withholding for now
Have you ever been convicted of a felony? No
Work REFERENCES
Applicant Name: ELIZABETH L.
LIST WORK REFERENCES (List most recent employer first)
(1) LIST THE NAME OF YOUR EMPLOYER: Ms D.
LIST EMPLOYER'S PHONE NUMBER: Withholding for now
LIST JOB LOCATION (list city/state only): Washington, DC
LIST DATES WORKED: 1989 - Current (Part-time - can be available any day if needed)
LIST YOUR JOB TITLE: Nanny/Housekeeper
LIST JOB DUTIES: Childcare for three children, housecleaning, family laundry, cooking meals (using a recipe), running errands, driving children as needed
LIST CHILDREN'S AGES: Two newborns and a 2.5 years
WHY DID YOU LEAVE THIS JOB? Family no longer needs help
EMPLOYER'S COMMENTS: Made contact with Ms D. on Sept. 15, 2011 - She gave Elizabeth an
excellent work recommendation, commenting on her being superb with young children. She helped out with household duties in cleaning, cooking, doing laundry, ironing, grocery shopping and driving children as needed. Ms P.'s children are now in college and she no longer needs Elizabeth's help and longer.
If you would like to meet with Elizabeth L. 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!
CONTACT INFORMATION
FAMILIES HELP LINE
Office Telephone: 301-868-4420 (It is best to call between 9:00 a.m. and 5:00 p.m., EST, Monday through Friday.)
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