FIRST AND LAST NAME
EMAIL ADDRESS
PHONE NUMBER (DAY)
ALT. NUMBER
ADDRESS
CITY, STATE ZIP CODE
Select
Yes
No
Select
Yes
No
I.D or DRIVERS LICENSE NUMBER
SOCIAL SECURITY NUMBER
STATE ISSUED
DATE OF BIRTH
* Proof of identity will be required upon interview.
Select
WASHINGTON
TEXAS
NEW YORK
VIRGINIA
FLORIDA
COLORADO
MASSACHUSETTS
OTHER
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LIVE-IN
LIVE-OUT
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NANNY
PART-TIME NANNY
NANNY/HOUSEKEEPER
HOUSEKEEPER
PART-TIME HOUSEKEEPER
CAREGIVER
PART TIME CAREGIVER
CHEF
PERSONAL
ASSISTANT
ESTATE MANAGER
CHAUFFEUR
HANDYMAN
LIVE-IN OR LIVE-OUT
LOCATION
POSITION APPLYING FOR
SALARY OF LAST EMPLOYMENT
EXPECTED SALARY
PREVIOUS WORK HISTORY
START FROM MOST RECENT
EMPLOYERS NAME
PHONE NUMBER
CITY, STATE
EMPLOYMENT DATES
REASON FOR LEAVING
POSITION HELD
EMPLOYERS NAME
PHONE NUMBER
CITY, STATE
REASON FOR LEAVING
EMPLOYMENT DATES
POSITION HELD
EMPLOYERS NAME
CITY, STATE
PHONE NUMBER
REASON FOR LEAVING
POSITION HELD
EMPLOYMENT DATES
EDUCATION
HIGHEST LEVEL OF EDUCATION COMPLETED
ARE YOU IN SCHOOL?
GENERAL INFORMATION
IF YES, PLEASE LIST YEAR/MAKE/MODEL
DO YOU HAVE A CAR?
DO YOU HAVE INSURANCE?
IF YES, NAME OF COMPANY
ARE YOU A LEGAL CITIZEN? (PROOF OF CITIZENSHIP IS REQUIRED)
ARE YOU WILLING TO WORK IN A HOME WITH CHILDREN? IF YES, WHAT AGES.
HAVE YOU EVER BEEN CONVICTED OR ARRESTED FOR DRIVING UNDER THE INFLUENCE OF DRUGS OR ALCOHOL? IF YES, EXPLAIN
HAVE YOU EVER BEEN ARRESTED OR CONVICTED FOR HAVING AN IMPROPER SEXUAL OR PHYSICAL CONTACT WITH ANYONE? IF YES, EXPLAIN.
HAVE YOU EVER BEEN ARRESTED OR CONVICTED FOR THEFT, EMBEZZLEMENT OR ANY OTHER CRIMINAL ACTIVITIES? IF YES, EXPLAIN.
DO YOU HAVE OR HAVE YOU HAD ANY PHYSICAL OR MENTAL AILMENT THAT WOULD PREVENT OR HENDER YOU FROM PERFORMING THE REGULAR WORK DUTIES YOU ARE APPLYING FOR? IF YES, EXPLAIN.
ARE YOU UNDER THE CARE OF ANY PHYSICIAN? IF YES, EXPLAIN
DO YOU SMOKE?
CONFIDENTIALITY AGREEMENT
Confidentiality begins even before a position is accepted. Employees owe employers and families the obligation not to reveal confidential information without their expressed and written permission. The employment setting is a private home, therefore there are many opportunities to become aware of the clients or employers business household affairs, habits, and personal details of everyday living and childcare. Maintaining confidentiality is expected and is considered unethical to reveal private matters. Upon termination of employment, confidentiality with employer must be maintained. It also extends concerning the privacy of Isabella International Domestic Search Firm, executives, colleagues, and co-workers.
Please type in your name as to legally acknowledge the understanding and compliance of the Confidentiality Agreement.
STATEMENT OF UNDERSTANDINGS
Please read and initial each one.
I understand that should the client choose to hire me, the client must first pay IIDSF’s fee, and IDA will notify me via personal phone call, E-mail, certified letter or fax, of my first official work day.
I understand that if I continue to work for the client without IIDSF notifying me to do so, and IIDSF has not received placement fee paid in full from client, I am now liable for the clients’ fee. I understand that if necessary, IIDSF will pursue all legal resources necessary to collect client’s fee, not limited to prosecution. I also understand that I am responsible for all legal court and attorneys fees.
I understand that I authorize IIDSF to distribute, copy, transmit by facsimile or otherwise, to the extent legally allowed, the information about me to potential employers.
I understand that if I accept a position and decide to quit for any reason, I MUST give a one week notice. Failure to give a one week notice will permanently terminate my membership with IIDSF and client may withhold one week or the last week of payroll.
I agree to hold IIDSF harmless from any and all claims against it as a result of my acts and/or conduct, and I agree to fully indemnify IIDSF for all claims for damages which are a direct or indirect result of my errors and /or omissions. I further release IIDSF from all claims for personal injuries and damages as a result of this placement, including any claims allegedly caused by the negligence of IIDSF.
I agree that I shall not provide to clients any referrals, including friends or relatives as potential employees.
This agreement shall be construed and enforced in accordance with the laws of the state.
If any term of this Agreement is held by a court of competent jurisdiction to be invalid or unenforceable, then this Agreement, including all of the remaining terms, will remain in full force and effect as if such invalid or enforceable term had never been included.
Please type in your name as to legally acknowledge the understanding and compliance of the Statement of Understanding.
I hereby agree that all information written is true and accurate. I understand that any false information will lead to immediate termination at any time during employment.
Please type in your name as to legally acknowledge the understanding of Employment Application.
REFERENCES
Please includes references from past employment only!
NAME
PHONE
POSITION HELD
NAME
PHONE
POSITION HELD
PHONE
POSITION HELD
NAME
EMERGENCY CONTACT
NAME
ADDRESS
PHONE
ALT. PHONE
RELATIONSHIP
Please include any additional comments (including additional languages) that you would like to add, that would assist us in finding you the ideal position.
Position location and family (if applicable)
Please read and initial each one.
1. I understand that I may be required to provide additional information to agencies that choose to represent me for employment. I may also be required to authorize a thorough background check including: criminal background; civil litigation history; credit report; social security verification; etc. No party may conduct these searches without my signed authorization. 2. I understand that agencies may have different terms and conditions for representing me. It is my responsibility to learn all of the policies and procedures of any agency I elect to work with in my search for employment. 3. I agree to notify Isabella International Domestic Search Firm of all changes in my status including: address changes, offers of employment, contact information changes, etc. I can do this by contacting IIDSF or the agency and/or making the appropriate changes to my online application. 4. I understand that acceptance of my application by Isabella International Search Firm is not a guarantee that IIDSF will represent me or find suitable employment for me. 5. I understand that Isabella International Domestic Search Firm is not liable for the actions of any employer or agency. I agree to indemnify and hold harmless Isabella International Domestic Search Firm, its employees, officers, and agents for and from all claims, including attorney fees and court costs, made by any person when such claim arises out of my actions or the actions of any party to whom I have been referred directly or indirectly by IIDSF.
Thank you for your interest in receiving employment through our agency!
The registration fee of $50 is paid by approved applicatiions. Please to not submit payment until after you have been contacted by an agent.
Fees are non-refundable
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