Request For Domestic

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CONTACT US

Does anyone smoke inside the house?

Would you hire a smoker who agrees to smoke outside?

Is someone usually home during working hours?

Can we call work?

Do You Desire:

Can we call you at work?

We are offering:

Please indicate the payment method for the registration fee:

Questions? Call us at 302-478-6340

Please complete this form and click on the submit button below.  We will phone you within one business day to discuss your needs in further detail.

Is your home:

Fax: Home or Work? Any Special Instructions?

Fax: Home or Work? Any Special Instructions?

Permanent

Temporary

Live-Out

Live-In

Part-time

Full-Time

For how long do you plan to employ your domestic? For temp positions, please discuss dates & times:

YesNo

YesNo

YesNo

Private bath

Shared bath

What else would you like us to know about your needs?

YesNo

YesNo

housekeeper/nanny

other

gardener

personal chef

chauffeur

housekeeper

personal assistant

companion

domestic couple

What do you predict the typical working hours will be? Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Phone in room

health insurance

6 legal holidays off with pay

use of car for personal use

use of car for family business

Please discuss the living accomadations for your live-in employee.

Secure payment option on this website

Phone me for my checking information

Mailing to: 3519 Silverside Rd. Suite 101D Wilm. DE 19810

Fax a pay-by check form to me

I'll drop it by the office

concierge

Informalformal