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Household Staffing Employment Application

Whether you are interested in one or several of our available positions, please only complete this application ONE time. Please answer the questions thoroughly and check for spelling/grammatical errors. This application will be read by prospective clients seeking candidates for employment.

Step 1 of 7

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Applicant Information
Name:*
First Last
Address:*
Street Address Address Line 2 City State ZIP Code
Phone:*
Email:*

Position Criteria
Position Applying For:*
- Household Manager
- Housekeeper
- Personal/Family Assistant
- Estate Manager
- Chef
- Private Driver
Do you prefer to:*
- Live-In
- Live-Out
Schedule Desired:*
Preferred Start Date:*
Weekly Salary Desired (before tax):*
Why are you applying for this type of position?*
Core Responsibilities*
Please check off all options you would consider
- Meal preparation
- Cooking
- Grocery shopping
- Auto maintenance
- Driving/transportation
- Errands
- Pet care
- Home organizing projects
- Family calendar
- Overseeing household repairs
- Vacation home care
- Staff management
- Personal correspondence & gifting
- Travel arrangements & preparations
- Digital photo cataloging
- Ordering supplies
- Laundry
- Making/changing bed linens
- Ironing
- Vacuuming/sweeping
- Deep cleaning
- Trash & recycling
- Grounds management
- Managing deliveries
- Calendar management
- E-mail management & correspondence
- Expenses, bills, & invoicing
- Event planning
Please describe any other duties you would consider:
Is there anything else you would like us to know about you?

Basic Information
Can you make a one year commitment?*
- Yes
- No
Are you legally able to work in the United States?*
- Yes
- No
Do you have a driver's license?*
- Yes
- No
Do you have your own vehicle?*
- Yes
- No
If yes, are you willing to use your vehicle on the job?*
- Yes
- No
Have you had any moving violations, tickets or accidents within the last 7 years?*
- Yes
- No
Please explain moving violations, tickets, or accidents within the last 7 years:*
Do you smoke?*
- Yes
- No
Are you comfortable working in a home with pets?*
- Yes
- No
This field is hidden when viewing the form
If yes, which ones?*

Education
Graduated from High School?*
- Yes
- No
Graduation Year:*
High School:*
School City/State:*
College:
College City/State:
College Dates Attended:
College Major:
Graduated College?
- Yes
- No
Add an additional school?*
- Yes
- No
Additional School:
Additional School City/State:
Additional School Dates Attended:
Additional School Major:

Employment History
Employer 1:*
Employer 1 Phone:
Employer 1 Start and End Dates (Months and Years):*
Employer 1 Ages of Children (if applicable):
Employer 1 Job Title:*
Employer 1 Brief Description of Job Responsibilities:*
If you are leaving your current position, please explain why:
Employer 1: Can we call this person for a reference?*
- Yes
- No
Employer 2:*
Employer 2 Phone:
Employer 2 Start and End Dates (Months and Years):*
Employer 2 Ages of Children (if applicable):
Employer 2 Job Title:*
Employer 2 Brief Description of Job Responsibilities:*
Employer 2: Can we call this person for a reference?*
- Yes
- No
Employer 3:*
Employer 3 Phone:
Employer 3 Start and End Dates (Months and Years):*
Employer 3 Ages of Children (if applicable):
Employer 3 Job Title:*
Employer 3 Brief Description of Job Responsibilities:*
Employer 3: Can we call this person for a reference?*
- Yes
- No
Add a fourth employer?*
- Yes
- No
Employer 4:*
Employer 4 Phone:
Employer 4 Start and End Dates (Months and Years):*
Employer 4 Ages of Children (if applicable):
Employer 4 Job Title:*
Employer 4 Brief Description of Job Responsibilities:*
Employer 4: Can we call this person for a reference?*
- Yes
- No
Add a fifth employer?*
- Yes
- No
Employer 5:*
Employer 5 Phone:
Employer 5 Start and End Dates (Months and Years):*
Employer 5 Ages of Children (if applicable):
Employer 5 Job Title:*
Employer 5 Brief Description of Job Responsibilities:*
Employer 5: Can we call this person for a reference?*
- Yes
- No
Do you have any other relevant experience not listed above? If yes, please explain:
Upload your resume:
Optional. If you have one, you may upload a resume that encompasses your childcare experience here.
Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Other References
Please add 2 personal references of your choice, i.e., professor, neighbor, fellow nanny, etc.
Reference 1:*
First Last
Reference 1 Phone:
Reference 1 Relationship to you:*
Reference 2:
First Last
Reference 2 Phone:
Reference 2 Relationship to you:

Additional Questions
What factors and/or characteristics make you an excellent candidate?*
Briefly describe one of your proudest moments in this field:
Any additional information and/or Household Staffing Positions you are interested in from our "Job Openings" page:*
How did you hear about our agency?*
Name
This field is for validation purposes and should be left unchanged.

Boston Nanny Centre

Main Office: (617) 527-0114
Toll Free: (800) 456-2669
Hours of Operation:
Monday - Thursday: 9am - 5pm
Friday: 9am - 1pm
Saturday - Sunday: Closed

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