Long Term Job Request Form - Babysitters and Nannies serving Nantucket Island

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Long Term Job Request Form

First Name
Last Name
Email *
Home Address
City, State, Zip
Home Phone
Business Phone
Cell Phone
Type of Position:
Full-Time or Part-Time?
Tasks Performed	LaundryCookingFamily AssistantOther
Expected Start Date
Proposed Salary or Hourly Rate:
Marital Status
Spouse's Name
Children Name/Gender/DOB
Please describe any special requirements needed:
Please describe your home(s) including quarters for Nanny:
Do you have domestic help?
Are there any pets in your home?
Is a car available for Nanny?
Mother's Employer:
Title
Business Address
Frequency and duration of travel:
Father's Employer
Title
Business Address
Frequency and duration of travel:
Please describe your family's interests or hobbies:
Briefly describe the personality of you and your spouse:
Job Description		What type of personality do you seek / what type of responsibilities will be required? Please detail average hours per day, approximate start and ending times, days on duty, frequency of evening sitting, travel required, etc.:
Referred By
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