Candidate Resume & Application Form
In order to be considered for employment, please fill out this application COMPLETELY.   Start Here Today's Date: How did you hear about us?  *Required Job Title: (Nanny, Cook, etc.)   Check one: Live In   Live Out Full Time or Part Time? Full Time   Part Time Start Date for new job: Desired weekly salary after taxes (Net): If answering a specific ad, for which job are you applying for: Days and hours you are available to work: Job Objective (In two sentences tell us what kind of job you are seeking and why):   Applicant Information First NAME:  *Required Last NAME:  *Required Address: City:   State:    Zip: E-mail: *Required Please verify your e-mail address (if you have one): Home Phone:   Cellular Phone:         Work Phone:   Education: High School attended Graduate?   Yes   No *Required Year graduated: Name of high school, city, state: *Required College or Trade School attended Years of college?   1 2 3 4 College Degree?   Yes   No College, city, state, dates attended, major / degree or certificate: Additional experiences, courses or classes taken, (i.e. CPR, camp counselor etc.) that might add to your qualifications to work with children:   Employment History & References Applicants must have at least two years of experience (Infant care requires three years experience). If you have had one long term job, please list two personal references, excluding family and friends. (Personal references may include teachers, landlords, clergymen, former co-workers, etc.) All other applicants (housekeepers, cooks, drivers, etc.) please list all appropriate job experience. Please notify your form employers/references that they may be called by both the HTN+ and potential employers. Please provide current day and evening phone numbers for your references. (i.e. Home and Business phone.) Most recent job should be listed first. NAME of Employer     Employer PHONE numbers - home and business Job Duties *Please fill out as completely as possible Examples Smith  203-123-1234, 203-321-4321   Jan 06 - Mar 07   Nanny, 3 children Jones  203-123-1234, 203-321-4321   Aug 03 -Jul 06  Housekeeper 1. Employer:   Phones:   Ages (if childcare):   Town:   Job Duties: 2. Employer:   Phones:   Ages:   Town:   Job Duties: 3. Employer:   Phones:   Ages:   Town:   Job Duties: 4. Additional Employers: Employer:     Phones:   Ages:   Town:   Job Duties: Employer:     Phones:   Ages:   Town:   Job Duties: Personal References *Please be sure to provide this information 1. Reference Name:   Occupation: How you met this person:   How long ago:   Phone: 2. Reference Name:   Occupation: How you met this person:   How long ago:   Phone: Hobbies/Interests Please list your hobbies and sports, organizational memberships and any other special interests: Please tell us some personal traits about yourself: Outgoing Personality: Very   Somewhat   Not at all Sense of Humor: Very   Somewhat   Not at all Athletic: Very   Somewhat   Not at all Artistic: Very   Somewhat   Not at all Teaching Skills: Very   Somewhat   Not at all Musical: Very   Somewhat   Not at all Applicant Specific Job-related Information Place of Birth: LEGAL STATUS   US Citizen?   Working Papers?   Green Card? *Required How long have you been in the US? Please list the languages you speak: Emergency Contact:  Relationship:   Phone: Drivers License #: *Required Do you own a car? Yes No Do you have any traffic violations on your record? Yes No Have you ever been arrested? Yes No Do you have any criminal record? Yes No If yes to either of the above two questions, please explain: Do you have children of your own?  Yes No If so, please list their age(s): Do you smoke? Yes No Do you swim? Yes No Are you willing to travel with family?   Yes   No Do you have infant experience? Yes No  --> If yes, for how long? Do you have special needs experience? Yes No  *Required If yes, please elaborate: Do you have experience with twins and/or triplets? Yes No What age are you most comfortable with? How many children will you care for at one time? Would you work for a single parent?   Yes   No Do you have any allergies that would relate to potential employment? Yes No   If yes, what are you allergic to? In addition to your childcare duties (which includes children's laundry, cooking), are you willing to do? light housekeeping shopping & errands feeding of pets cooking for family laundry for family ironing household organization (closets, etc.) household management personal assisting (may include scheduling appointments, light office work, travel arrangements, computer-related tasks)     Would you be interested in occasional evening and/or weekend BABYSITTING for Chloe's Temps? Evenings Weekend     If so, please specifiy when you are available: In one sentence please describe your happiest childhood memory: In one sentence, what do you like most about yourself? For nannies: what is your favorite part of caring for children?   Please be patient after you click 'Submit'. The process may take a moment.

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