Hawthorne domestic services

508.540.0074 NATIONAL PLACEMENT

For Applicants

All Profiles MUST have every question answered fully and back-up material sent as requested below.

All fields are required.

Name Address

City

State

Zip

Home Phone

Cell/Mobile Phone

Work Phone

Fax

Emergency Name Emergency Phone

Position Required Location Desired

Will relocation be with spouse/children/animals? Please Explain

Date of Birth

Are you a Citizen of U.S.A? Yes No

If not, send a copy of Green Card(s)/work visa etc. If foreign born, but U.S. Citizen, send copy of U.S.A Passport.

Do you or any family member smoke? Yes No
Will you work in a smoking residence? Yes No
Allergies to animals or any allergens? Any health issues? Yearly Salary Parameters $35 - $50K $50 - $75K $75 - $100K $100K - Up

Worked in homes with staff? Yes No How many? Please explain Formal or Informal Service How did you hear of Hawthorne Domestics?

NOTE: * Please send a copy of resume showing residence and size of house, and/or properties acreage you have worked in along with copy of driver's license (if a couple please send copy of each one) along with a very recent photo - write your name(s) on back and date photo was taken.

TAXES - Please Note: Your employer is responsible for all Federal and State Taxes, as well as Health Insurance.

placement of superlative domestic staff professionals nationwide

Where Domestic Service
Becomes a Profession

HAWTHORNE DOMESTICS
508.540.0074
775.205.4772 Fax
homestaffing@hawthornedomestics.com

P.O. BOX 2344
EAST FALMOUTH, MA 02536-2344