Job Request English – Form Val The Consultant

Employer's Name *

Employer's Phone Number *

Employer's Domicile Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Worker's Placement Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

How many family members are in a house ? *

(Example: 4 persons (husband, wife, 2 children)

What is your current number of domestic workers ? *

Please mention the type. (Example: 2 persons (1 driver and 1 helper)

How old is the child being cared for ? *

(Example: 2 months)

When is the deadline date of nanny entry ? *

MM/DD/YYYY

Is there a duty to help with the housework ? *

If yes, please kindly describe. Example: Cleaning rubbish outside the child's room, etc. (Please mention your child's needs here so that we can explain to the candidates that we will provide)

Are there cooking and shopping responsibilities? *

(If yes, please kindly describe)

What is the age range of the nanny ? *

(Example: 20 - 35 years old)

Please give a brief job description for the nanny candidates *

(Briefly explain what nanny assignments you would like to have later)

What is the specialized of nanny do you need ? *

(babysitting / taking care of the household /others) If possible please provide the composition. (Example: 80% t help look after 1 child and 20% take care of the household)

What salary range are you prepared for the nanny ? *

(Example: Rp 3.500.000 - Rp 4.500.000)

Are there specific criteria for the nanny candidates ? *

(Briefly explain what nanny criteria you would like to have later)