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| HOUSEHOLD PROFILE |
| Will you work in a home with children? |
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| Will you work in a home with dogs? |
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| Will you work in a home with cats? |
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| Will you do PET CARE for dogs? |
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| If YES type of DOG care? |
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| Will you do PET CARE for cats? |
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| If YES type of CAT care? |
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| Will you travel with family? |
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| Do you have a current passport? |
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| Will you work with a non working parent at home? |
* |
| Will you work in home with home office/business? |
* |
| Will you work with other staff in home? |
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| What is your preferred working environment? |
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| Will you wear a uniform if required at work? |
* |
| Do you drive: |
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| Will you drive children for: * |
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| Will you chauffer your employer? |
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| Will you use your own car? |
* |
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| JOB DUTIES |
| What computer hardware are you familiar with? * |
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| Please identify your area(s)of software expertise? * |
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| What office tasks will you perform for a household? * |
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| What is your HR experience? * |
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| What household management and personal assisting tasks will you do? * |
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| WORK HISTORY |
| Previous Work History: |
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| If YES describe your work history below: * |
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