Staff Seeker Application Form

Application Date

CLIENT DETAILS

Your Name (required)

Telephone Number (required)

Your Cell (required)

Your Email

Address

FAMILY DETAILS

Adults in Household

Children in Household

Nationality

Languages

Religion

JOB DESCRIPTION

Start date

End Date

Job description

Live-in or Live-out

What happened to your last domestic worker?

What are the working hours/times?

Christmas Bonus?

What monthly salary are you offering?

NANNY DUTIES

Please tick as required most important duties

 Dressing Baby Changing Nappies Bathing Washing bottles Sterilizing Bottles Sleep Routine Administering medication Bottle Feeding Starting/Feeding Solid food Potty Training Making Baby food/Toddler food Play and Mental Stimulation Discipline without smacking First Aid/CPR knowledge Washing Baby Clothes Cleaning Baby Room and Equipment

DOMESTIC WORKER

Please tick as required most important duties

 Making Beds Vacuuming Carpets/Upholstery Dusting Wipe down appliances, TV etc… Cleaning walls Cleaning light switches Cleaning windows Cooking Cleaning ornaments Cleaning bathrooms, tiles, toilets Cleaning/Mopping floors Cleaning cupboards Cleaning brass/silver Laundry – machine wash Cleaning oven/stove Mending Setting table Ironing Laundry – hand wash Hanging out laundry Washing and ironing curtains Packing away groceries Defrost/clean fridge and freezer Cleaning equipment used (vacuum…) Emptying and cleaning dustbins Cleaning outside room/cloakroom

EMPLOYEE PREFERENCES

Please tick as required most important duties

What character traits and abilities are important to you?

 Honesty Reliability Punctuality Loyalty Calm Outgoing Confident Outspoken Modern Quiet Passive Shows Initiative Introvert Unobtrusive Common Sense

Age range

Language

Do you have a preference for any particular culture or language group?

Tell us your special request

When do you need the candidate to start? (Date)

 I agree to pay the placement fee/rate, within the given times stipulated in this agreement.

 I agree that I have read and have accepted all of the terms and conditions.

Your Comments