Staffing Inquiries for Employers

If you would like Hampton Domestics to help you fill a position, please contact us and we will be glad to help you. If you would like, complete and submit the form below, and we can get started assisting you find an employee right away.

Contact Information

Your IP address has been automatically recorded.
IP Address=

Employer Name: 
Email address: 

Should another person be cc'd on correspondence? Yes No
If so, please provide e-mail address of that person:

Home Phone #: 

Work Phone #: 

Cell Phone #: 

Fax #: 

Home Address Where Candidate Will Work:
State:    Zip Code: 
Cross Street: 
(if applicable)

Are there any special directions that are helpful to find the home?

Alternative Address (Mailing or Office):
State:    Zip Code: 

Position(s) Available

What type of Position(s) would you like to fill?
 Baby Sitter
 Baby Nurse
 Baby Guard
 Chef / Cook
 Elder Care
 Estate Manager
 Executive Assistant
 Executive Corporate Staffing
 Executive Housekeeper
 Event Staff
 Home Health Aide
 House Manager
 House Sitter
 Lady's Maid
 Landscape Gardener
 Major Domo
 Mother's Helper
 Nanny / Governess
 Personal Assistant
 Personal Security
 Personal Trainer
 Restaurant Chef
 Senior Companion
 Social Secretary
 Vacation Home Staff
 Yacht Staff

If "Other", please describe position:

Is this a confidential search?  Yes   No

Type of Position:
 Live In    Live Out

 Part Time (under 35 hours per week)    Full Time (35+ hours per week)

 Long Term (one year or longer)    Temporary (less than one year)

Start Date:

End Date (if applicable):

Is there any other domestic help employed in the house?  Yes    No
If yes, please list titles, responsibilities, and schedule:

Is there anyone currently employed in the desired position?
 Yes    No
If yes, please describe the situation:


Days and Hours Needed:
Monday    Tuesday

Wednesday    Thursday

Friday    Saturday



What duties will employee be expected to perform? (check all that apply)
 Driving Children
 Cooking for Children
 Purchasing Children's Items
 Child Related Event Planning
 Children's Laundry
 Attending Classes with Children
 Overnight Care
 Managing Family Calendar
 Homework Help
 Cooking for Family
 Meal Preparation
 Complete Housekeeping
 Light Housekeeping
 Personal Shopping
 Grocery Shopping
 Pet Care
 Family Laundry
 Scheduling Service Personnel
 Errand Running
 Travel with the Family
 Household Event Planning
 Computer Work

If there are "other" responsibilities, please provide details:

Household Environment

Please describe your residence (i.e. formal, casual, house, apartment, square feet)

Do you have a pool? Yes   No

Do you have pets? Yes   No
If you have pets, please specify

Will pet care be required? Yes   No

Will the employee be required to travel? Yes   No
If so, how often:
Do you have allergies? Yes   No
If you have allergies, please specify

Do you require a candidate to drive? Yes   No
Can you provide a car? Yes   No

Live-In (if applicable)

Detached Cottage
Room in House with Private Bath
Room and Bath with Separate Entrance
Room in House with Shared Bath

Please describe living quarters:

Compensation and Benefits

Desired Budgeted Annual Salary Range, Based on Duties and Experience of Candidate:
From:   To:

Or Weekly Range, Based on Duties and Experience of Candidate:
From:   To:

Or Hourly Range, Based on Duties and Experience of Candidate:
From:   To:

Will Medical Insurance be provided? Yes   No

Are any there any other additional benefits that will be offered to the candidate?

Search Information

How did you hear about Hampton Domestics?
I am a previous client   Friend   Magazine   Newspaper   Internet   Other

Meeting With Us In Person Can Help Us to Understand the Requirements of Your Position. Are You Interested in Scheduling an In-Residence or In-Office Visit With a Hamptons Domestic Agency Specialist? Yes   No

What Days and Times Are Best to Schedule Interviews for You With Potential Candidates?

If we are interested in your experience and qualifications, you will be asked to complete an additional, more detailed form. Some of the above questions will be repeated.

By submitting this form, I certify that all facts contained herein are true and complete to the best of my knowledge. I understand that Hampton Domestics acts only as a liaison and assumes no responsibility for any act of employer or employee. I agree not to take any position Hampton Domestics refers me to for which Hampton Domestics is not paid by my new employer or by the agency I am referred to Hampton Domestics by. I agree to keep Hampton Domestics informed regarding my current telephone number and job availability. I agree to notify Hampton Domestics when I accept a position through their efforts and to notify Hampton Domestics if and when I leave that employment.

New York
Palm Beach
The Hamptons