Employing a Home Helper

Please fill out the information in the form below.

First Name: Middle Name:
Last Name:
Address:
City: Province:
Postal Code:
Home Phone: Work Phone:
Note: you must enter a valid email address to change your information later?
Cell Phone: Email Address:
Contact name (if different): Main Intersection:

Are you looking for full time or part time staff? Full Time Part Time
Are you looking for live-in or live-out staff? Live In Live Out
Duties and Responsibilities
Adults in your household:
Children in your household:
Ages:
Do you have pets? Yes No Smoking Household: Yes No
Do you currently employ any other household staff and if so what is their title and job:
Accomodation (for live in staff only give a brief description of the room they will be staying in):
Which days of the week will you will require him/her/them to work:
Hours of work per day: Salary:
Other benefits:
Other information concerning the position:
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