Warning:  Before filling out this form, please refer to our candidate requirements.  Distinguished Domestic Services only represents candidates that meet our strict criteria.

This is only a preliminary application. Your answers to the following questions reflect only your preferences not your eligibility, and are given on a voluntary basis. Please be assured that all information submitted below will be held in strictest confidence and will be used only for the purpose of introducing you to perspective employers. Submitting this information is not a guarantee of employment. This form must be filled out completely if you wish a response.

I wish to be represented as a/an:  

                               

PERSONAL DATA:

First Name:     Last Name:   

Partner's name (For Couples only):

Address:   Suite or Apartment #:

City:      State:      Zip:

Contact Phone#:   Alternate#:  

E-Mail address:


EMPLOYMENT DATA:

How many years experience do you have in your field?:     

Will you relocate?

Have you ever been employed in a private residence?:   If yes, how many years?:

How many different employers have you had in the past ten years?:

What is your desired annual gross salary?:  

How did you hear about our service?:

Please describe the job you are looking for and where:  (Maximum 250 Characters)

After review of your  preliminary application someone from our office will contact you. If selected, you will be required to submit a formal resume including work references with phone numbers, a recent photo, and complete an in-depth interview with one of our agents. 

Please click submit only once.  You will receive a confirmation of your entry.

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