Client Registration - First Class Domestics LLC

Client registration form

Please provide as much information as possible so we can best accommodate your requirements.

First Name

Last Name

Phone

Email

Address

City

State

Zip Code

How many children do you have and what are their ages?

Do any parents work from home?

Yes No

Candidate should be:

Full time Part time Temporary Permanent

Travel required? If so, how often?

Is overnight required?

Yes No

Do you have any pets in the house? If so what kind and how many?

Are there other staff members working in the home?

Yes No

Is there driving involved? If so, do you provide a vehicle?

Looking for LIVE IN or LIVE OUT

Live in Live out

Type of help needed:

What is the hourly wage you are offering for this position?

Are you offering any benefits?

Additional Preferences

Your job description title for the job board

Job duties

Anticipated start date?

How did you hear about us?

Other info you would like us to have