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ATTENTION JOB APPLICANT! If you would like to apply to our company for job assistance then please complete the below Job Applicant Employment Application/Work Reference Questionnaire and return to us via e-mail or fax to: 301-868-0484 - You may also send us your resume as well BUT please keep it to only one to two pages. For the quickest process to register with our service is for you to call us via telephone and we can take a phone application from you at that time.
PLEASE FOLLOW THE BELOW INSTRUCTIONS WHEN COMPLETING/SENDING THE BELOW INFO TO OUR OFFICE -- THANKS!
STEP 1. HIGHTLIGHT the below TEXT to be copied.
STEP 2. Now you are ready to paste the text into your e-mail browser window. You may also paste info into your word processor, (e.g., Word or Word Perfect application, etc.). Simply type in the answers needed for each question and return it to our office by emailing to: FamiliesHelpLine@gmail.com
STEP 3.
If you choose to fax the below info then simply HIGHLIGHT the below TEXT to be copied then print it out, complete it and return it to our office by faxing to: 301-868-0484
That's It! You are finished!
Thank you for your application. We will be in touch with you shortly so be sure to check your e-mail regularly!
REGISTRATION AGREEMENT: For now, we will withhold having you sign off on our registration agreement until we find you suitable employment. Once an opportunity surfaces, we will then go over your employment/work references with the potential employer. It he/she wants to meet you in an interview then we will contact you with the job specifics right away. You will decide either to accept or decline a particular job interview with a potential employer.
Prior to your being interviewed by a potential employer, we will need to fax you our registration agreement. You will need to sign/date the document then return it to us by fax or mail along with copies of your personal ID, (e.g., driver's license, social security and if a non U.S. citizen, a Worker's Permit or Resident (Green) Card)
***We do not charge the job applicant a fee to help him/her secure employment.***
JOB APPLICANT EMPLOYMENT APPLICATION & WORK REFERENCE QUESTIONNAIRE
Please answer ALL below questions and then e-mail or fax info back to us today. Please do not leave any questions left blank or unanswered.
JOB APPLICANT EMPLOYMENT QUESTIONNAIRE
PERSONAL INFORMATION
Today's Date:
Job Applicant Name
City/State/Zip Code
Home Phone #
Cell Phone #
E-mail Address
GENERAL INFORMATION
Are you 18 years or older?
ANSWER:
If employed, could you submit proof of your legal right to work in U.S. to your employer?
ANSWER:
Do you have at least two years of recent experience as a nanny or domestic worker?
ANSWER:
Do you speak English?
ANSWER:
Do you have a driver's license and do you have your own vehicle?
ANSWER:
If applicable, list the state your license is issued and the date your license will expire:
If applicable, list type of driving violation and date:
ANSWER:
Do you wish to drive child/ren or adult in your vehicle while they are in your care?
ANSWER:
If yes, do you have adequate vehicle insurance?
ANSWER:
Do you prefer your employer provide you with a vehicle for job-related duties?
ANSWER:
Are you CPR certified for infants/children or adults and if so give us the certification exp. date?
ANSWER:
Are you a smoker or a non smoker?
ANSWER:
If applicable, please let us know how many children you will care for and their ages?
ANSWER:
Do you need to bring your child to work with you nnd if so, please list yoru child's age?
ANSWER:
For elder care or companion care candidates, please briefly describe what you are looking for.
ANSWER:
Do you speak a fluent language other than English and if so, please list the language?
ANSWER:
List language:
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 a full or part-time, live-in or out, short or long-term or a Summer position.
ANSWER:
EMPLOYMENT AVAILABILITY/RELOCATION INFO
Are you available for work Monday thru Friday or other days?
ANSWER:
List the available hours:
ANSWER:
List locations you are willing to consider for work:
ANSWER:
Can you work overtime, if needed?
ANSWER:
Do you want to relocate for work in the U. S. and if so, list locations you will consider for employment?
ANSWER:
If applicable, are you willing to pay travel, lodging & food expenses as part of your relocating costs?
ANSWER:
If hired, when can you start work?
ANSWER:
DESIRED SALARY & EMPLOYEE BENEFITS
List salary expectations for a weekly or daily work schedule:
ANSWER:
List desired benefit's package:
ANSWER:
If applicable, list live-in accommodations you will consider:
EDUCATIONAL BACKGROUND INFORMATION
Did you graduate from high school?
List the location of the educational institution?
ANSWER:
If other than U.S., indicate country:
ANSWER:
Did you graduate from college:
ANSWER:
List the year you graduated from college:
ANSWER:
List the area of study and the type of degree you have:
ANSWER:
List the location of the educational institution?
ANSWER:
Are you currently a student?
ANSWER:
If so, please list your area of study, the days and hours of your classes:
ANSWER:
Please list a person's contact name and phone number in case of an emergency:
ANSWER:
Name Phone #
Have you ever been convicted of a felony?
ANSWER:
WORK REFERENCE QUESTIONNAIRE
Do you have at least two years of work experience as a nanny or other household worker?
ANSWER:
Please do not leave any questions left unanswered.
LIST WORK REFERENCES (List most recent employer first)
(1) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
(2) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
(3) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
(4) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
(5) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
(6) LIST THE NAME OF YOUR EMPLOYER (first and last name needed)
LIST EMPLOYER'S PHONE NUMBER:
ANSWER:
LIST JOB LOCATION (list city/state only):
ANSWER:
LIST DATES WORKED (example: from MONTH/YEAR to MONTH/YEAR):
ANSWER:
LIST YOUR JOB TITLE:
ANSWER:
LIST JOB DUTIES:
ANSWER:
LIST CHILDREN'S AGES:
ANSWER:
WHY DID YOU LEAVE THIS JOB?
ANSWER:
ALSO, PLEASE COPY/PASTE AND RETURN THE BELOW STATEMENT AS WELL TO OUR COMPANY.
JOB APPLICANT'S VERIFICATION/BACKGROUND AND REFERENCE AUTHORIZATION STATEMENT
By applying to Families Help Line's service, I, Job Applicant (Name who appears on employment application), verifies the statements I have applied in this document are true and complete. I understand that any false or incomplete statements in this document may be grounds for terminating my employment with my employer (Families Help Line's client) and end my registration with Families Help Line. In addition, I, Job Applicant, agree that by my completing and returning the above Employment Application Quesionnaire/Work Reference Questionnaire to Families Help Line's office via e-mail, fax or U.S. mail it will affirm my approval or authorization for them and/or their client (my potental employer and/or employer) to check my work references and perform any type of pre-employment background checks they deem necessary for my being considered or placed in a position of employment.
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