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.

Will you work in a smoking residence?
Yes   No

Allergies to animals or any allergens?

Any health issues? (Please Explain)

Yearly Salary Parameters
$35 - $50K   $50 - $75K   $75 - $100K   $100K - Up

How many? (Please explain)

Formal or Informal Service

How did you hear of Hawthorne Domestics?

Before submitting this form, please type the characters displayed below:

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.