Certified Household Staffing - EMPLOYEES / CANDIDATES
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Password
Create a password for yourself and enter it here. You can use this password to log on to the system later.
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First Name
Last Name
Job Expertise
(Please Select a Title)
Alzheimer Care
Assisted Living
Baby Nurse - Doula
Bodyguard
Butler - Major Domo
Caregiver
Certified Nurse Assistant - CNA
Chauffeur
Chef - Private / Personal
Chef - Vegan
Child Care
Companion
Cook
Couple
Disability Care
Elder Care
Estate Manager
Executive Assistant
Executive Housekeeper
Governess
House Manager
Household Manager
Housekeeper
Houseman
Maid
Nanny
Personal Assistant
Senior Care
Valet / Houseman
Wet Nurse
Please select your main specialty.
City
State
(Please Select a State)
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
CA-ALBERTA
CA-BRITISH COLUMBIA
CA-MANITOBA
CA-NEW BRUNSWICK
CA-NEWFOUNDLAND
CA-NOVA SCOTIA
CA-NORTHWEST TERRITORIES
CA-NUNAVUT
CA-ONTARIO
CA-PRINCE EDWARD ISLAND
CA-QUEBEC
CA-SASKATCHEWAN
CA-YUKON TERRITORY
US-AMERICAN SAMOA
US-FEDERATED STATES OF MICRONESIA
US-GUAM
US-MARSHALL ISLANDS
US-NORTHERN MARIANA ISLANDS
US-PALAU
US-PUERTO RICO
US-VIRGIN ISLANDS
Zip
Primary Phone
Willing to relocate?
(Select From List)
Yes
No
Willing to relocate without dependents?
(Select From List)
No
Yes
Not willing to relocate
If you are part of a couple, have children, or otherwise have dependents and are willing to relocate, will you consider relocating without them?
Email Address
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Spouse/partner name (only needed if registering as a couple)
If registering as a couple, please enter the name of your spouse/partner here. [NOTE: Please also fill out a separate candidate registration for your spouse/partner]
Living Arrangements
(Select From List)
Live In
Live Out
Live In or Live Out
Childcare?
(Select From List)
No
Yes
Eldercare?
(Select From List)
No
Yes
Cooking?
(Select From List)
No
Yes
Housekeeping?
(Select From List)
No
Yes
Driving?
(Select From List)
No
Yes
Serving Meals?
(Select From List)
No
Yes
Errands?
(Select From List)
No
Yes
(Driving Involved)
Personal Assisting?
(Select From List)
No
Yes
Have you cared for pets?
(Select From List)
No
Yes
Are you willing to provide pet care?
(Select From List)
No
Yes
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