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Hampton Domestics Employment Application
Hampton Domestics
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
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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 Sunday

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?