EmailMe Form - DNU Regal Household Staffing

General Information - Your Name *
First Middle Last
Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Previous Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Your cell phone number *
### - ### - ####
Your home phone number
### - ### - ####
Your work phone number
### - ### - ####
Your alternate phone number
### - ### - ####
Your email *
Can you provide proof of your legal right to work in the U.S.? *
Check all that apply *
US Passport
SS Card
Driver's License
Work Visa
If hired, would you have reliable means of transportation to and from work? *
If required for this position, do you possess a valid driver’s license? *
If required for this position, do you possess a car that can be used for daily work purposes? *
Have you ever been known by a different name? *
Please list the other names you have been known by.
Are you willing to undergo drug testing? *
Are you able to perform the job duties with or without reasonable accommodation? *
Education
HighSchool / GED *

Name & Location 1

Grade Comleted

Major / Degree

Graduated?
College / University

Name & Location 2

Grade Comleted

Major / Degree

Graduated?
Special Training

Name & Location 3

Grade Comleted

Major / Degree

Graduated?
Employment History
(Begin with most recent employer)
Are you currently employed? *
When are you available to interview? *
MM / DD / YYYY
Employer 1 name *
Employer 1 Full-Time or Part-Time *
Employer 1 Are you still employed there? *
Employer 1 address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Employer 1 Start Date *
MM / DD / YYYY
Employer 1 End Date *
MM / DD / YYYY
Employer 1 Starting Salary *
$ Dollars
Employer 1 Ending Salary *
$ Dollars
For Employer 1: *

Job Title

Supervisor

Email

Contact Number
Employer 1 Job Duties: *
________________________________________
Employer 2 name *
Employer 2 Full-Time or Part-Time *
Employer 2 Are you still employed there? *
Employer 2 address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Employer 2 Start Date *
MM / DD / YYYY
Employer 2 End Date *
MM / DD / YYYY
Employer 2 Starting Salary *
$ Dollars
Employer 2 Ending Salary *
$ Dollars
For Employer 2: *

Job Title

Supervisor

Email

Contact Number
Employer 2 Job Duties: *
________________________________________
Employer 3 name
Employer 3 Full-Time or Part-Time
Employer 3 address

Street Address City State / Province / Region Postal / Zip Code Country / Region
Employer 3 Start Date
MM / DD / YYYY
Employer 3 End Date
MM / DD / YYYY
Employer 3 Starting Salary
$ Dollars
Employer 3 Ending Salary
$ Dollars
For Employer 3:

Job Title

Supervisor

Email

Contact Number
Employer 3 Job Duties:
________________________________________
Add another previous employer?
Employer 4 name
Employer 4 Full-Time or Part-Time
Employer 4 address

Street Address City State / Province / Region Postal / Zip Code Country / Region
Employer 4 Start Date
MM / DD / YYYY
Employer 4 End Date
MM / DD / YYYY
Employer 4 Starting Salary
$ Dollars
Employer 4 Ending Salary
$ Dollars
For Employer 4:

Job Title

Supervisor

Email

Contact Number
Employer 4 Job Duties:
________________________________________
Professional References
Please list a minimum of 3 professional references. These references should be current/former managers, co-workers or employees you have managed. (enter NA where not applicable or for a blank space)
1 Professional Reference *

Name

Relationship

Years known

Mobile phone

Work phone

Email address

What would this person confirm regarding your character?
2 Professional Reference *

Name

Relationship

Years known

Mobile phone

Work phone

Email address

What would this person confirm regarding your character?
3 Professional Reference *

Name

Relationship

Years known

Mobile phone

Work phone

Email address

What would this person confirm regarding your character?
Would you like to add a 4th professional reference?
4 Professional Reference

Name

Relationship

Years known

Mobile phone

Work phone

Email address

What would this person confirm regarding your character?
________________________________________
Position(s)
Check position(s) that you have two or more years of experience.
Household & Estate Staffing:
Personal & Family Assistant
Housekeeper
Housekeeper / Nanny
Executive Housekeeper
Nanny
Governess
Mothers' Helper
Newborn Care Specialist
Doulas & Postpartum Doulas
Laundress
Chauffeur / Driver
Private Chef / Cook
Domestic Couple
Elder Care / Companion
Estate & Household Manager
Butler & Houseman
Caretaker
Groundskeeper / Gardener
Lifestyle Management Staffing:
Private / Social Secretary
Family Office Staff
Personal Shopper & Stylist
Personal Trainer
Private Personal Care Services
Project Manager
Corporate & Hospitality Staffing:
Corporate Butler
Corporate Housekeeper
Chauffeur / Driver
Corporate Nanny
Chef
Concierge Personnel
Hospitality Manager
Director of Housekeeping
Events & Functions Staffing:
Event Coordinator
Bartender
Host / Receptionist
Concierge Personnel
Cook
Server & Waiter
Kitchen Hand / Helper
Housekeeper
Event Nanny
Chef
Administrative Staffing:
Executive Assistant
Family Office Executive Assistant
Administrative Assistant
Personal Assistant
Family Office Coordinator & Bookkeeper
Office Manager
Receptionist
Corporate Office Matron
Hotel Staffing:
Hospitality Managers
Director of Housekeeping
Position detail *
Live-In
Live-Out
Full-Time
Part-Time
Temporary
Permanent

Name & Location 1
Grade Comleted
Major / Degree
Graduated?

Name & Location 2
Grade Comleted
Major / Degree
Graduated?

Name & Location 3
Grade Comleted
Major / Degree
Graduated?

Job Title
Supervisor
Email
Contact Number

Job Title
Supervisor
Email
Contact Number

Job Title
Supervisor
Email
Contact Number

Job Title
Supervisor
Email
Contact Number

Name
Relationship
Years known
Mobile phone
Work phone
Email address
What would this person confirm regarding your character?

Name
Relationship
Years known
Mobile phone
Work phone
Email address
What would this person confirm regarding your character?

Name
Relationship
Years known
Mobile phone
Work phone
Email address
What would this person confirm regarding your character?

Name
Relationship
Years known
Mobile phone
Work phone
Email address
What would this person confirm regarding your character?

(t01) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Ability to communicate well with managers, guests and coworkers
Ability to lift 25 pounds
Ability to represent the household from telephone manner to reception of guests
Adaptable and flexible
Attention to detail
Cars
Central Vacuum experience
Comfortable working with animals
Competent at replenishing cleaning supplies
Deep cleaning of appliances, shampooing carpets or upholstery
Drivers License
Excellent verbal and written communication skills
Expertly trained in specialty surface and materials cleaning
Food preparation
Formal service of fine wines and food
High level of accuracy and attention to detail
Highly skilled in cleaning different material such as marble, limestone
Highly skilled in utilizing all kinds of cleaning and sanitation equipment
Home organization skills
Kitchen, bathroom and bedroom cleaning expert
Knowledge of and expertise in caring for fine art, antiques
Knowledge of Housekeeping procedures
Laundering and ironing skills
Leadership skills
Make hotel-style beds
Ok with a Smoking Environment
Ok with children
Ok with pets
Party planning
Plan and cook meals
Professional Certification
Rotary iron
Setting formal dining table
Shopping for family
Silver, china, crystal
Smart Home (Crestron, etc.) experience
Sound ability to perform physically demanding chores
Speak fluent English
Valeting skills for both males and females

(t02) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Bachelors Degree, Masters Degree
Bathing and feeding
CPR and First Aid certificates
Driving children in family’s vehicle
Driving children in nanny’s vehicle
Errands
Excellent swimmer
Experienced in providing compassionate care to newborns
Helping with homework
Light housekeeping
Meal preparation
New Born Experience
Ok with a Smoking Environment
Ok with pets
Prenatal Support
Speak another language
Speak fluent English
Special Needs Experience
Talented in scheduling and coordinating children’s activities
Teaching
Teenagers
Traveling domestically and internationally
Tutoring
Washing and ironing of children’s clothes
Young children

(t03) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Attention to detail
Avid knowledge of etiquette and protocol
Basic Bookkeeping
Basic IT support (problem solving)
Comfortable working with animals
Complex problem solving skills
Creating processes and systems
Drafting formal correspondence
Excellent verbal and written communication skills
Experience creating an estate/property manual
Experience in vendor, property and project management
Fine Art caring skills
Google Suite
High level of accuracy and attention to detail
Home organization skills
Human resources/personnel handling
Knowledge of housekeeping procedures
Leadership skills
Mac
Microsoft Office
Ok with a Smoking Environment
Ok with children
Ok with pets
Party planning
PC
Public Safety and Security
Reconciling credit card/bank accounts
Setting formal dining table
Shopping for family
Smart home knowledge & experience (Crestron, etc)
Sound ability to perform physically demanding chores
Strong interpersonal and communication skills
Willing to stretch existing working hours to accommodate work

(t04) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Awareness of health, safety, security and hygiene issues
Basic Maths /Analytic Skills
Branch Thinning, Bush and Tree Trimming
Communication Skills
Computer Skills
Equipment Maintenance
Experience handling all aspects of the grounds and property
Floral arrangements
Garden Tool Repair/Maintenance
Garden, Landscape Design and Landscaping
Greenhouse Work
Harvesting
Irrigation and Drought Management
Lawn and Grass Work
Lawn Maintenance and repair
Mechanical Skills/Machinery Knowledge
Plant Identification and Selection
Planting
Practical skills to carry out minor repairs
Professional Certification
Smart Home experience and trouble shooting
Soil Management
The ability to supervise and manage vendors and contractors
Vegetable/Fruit Growing

(t05) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Accommodating and Discreet
Basic knowledge of vehicle maintenance
Clean Driving Record
Errands
Excellent Communication Skills
Excellent driving skills
First Aid experience
Geographical and route knowledge
Organizational and time management skills
Safety Awareness
The ability to deal calmly with unexpected circumstances or delays

(t06) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Ability to set up and supervise buffets
Able to pair wines with food
Attention to Detail
Awards and or certificates
Culinary Expertise in various specialty cuisines
Dining Room Set Up
Experience with social and household entertaining and catering
Food preparation Skills
Formal training and experience
Ingredient selection
Inventory management and rotation
Kitchen Safety and food handling safety
Knife skills and safety and tools management
Knowledge of mixed cocktails
Menu Planning
Operating big ovens and professional cooking range experience
Organizational skills
Team Player
Understanding of dietary issues
Wines and spirits knowledge

(t07) Please rate applicable skill level for the following: *

(t08) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Accounting and Budget planning
Basic Bookkeeping
Basic IT support (problem solving)
Computer skills
Creating processes and systems
Database management
Drafting formal correspondence
Event Planning
Financial Administration
Google Suite
Implementing Procedures
Mac
Maintaining of Schedules
Marketing
Microsoft Office
Office Management
PC
Presentation Preparation
Proactive
Problem Solving Skills or Critical Thinking
Project Management
Reconciling credit card/bank accounts
Research Skills
Social Media
Technology Skills
Travel Planning
Written and Verbal Communication

(t09) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Excellent written and verbal communication skills
Good leadership skills
Good numeracy and literacy skills
Highly skilled in planning, coordinating and directing all daily activities
Innovation and Customer Engagement
Large hotel management skills
Marketing
Problem-solving skills
Small to medium hotel management skills
Social Media
Strategies, Planning and Documentation
The ability to work well as part of a team
Training Experience

(t10) Please rate applicable skill level for the following: *

	No	Basic	Intermediate	Advanced
Bathing and feeding
CPR and First Aid certificates
Driving client vehicle
Driving own vehicle
Errands
Excellent swimmer
Experienced in providing compassionate care to newborns
Light housekeeping
Meal preparation
Nursing Degree or Bachelors Degree
Ok with a Smoking Environment
Ok with pets
Speaks another language
Speaks fluent English
Talented in scheduling appointments
Teaching
Traveling domestically and internationally
Tutoring
Washing and ironing clothes and linens

What is your preferred work schedule? *
Monday thru Friday
Saturdays
Sundays
Daytime
Evenings
Overnights
Holidays
Other
Starting Salary From (Low) *
$ Dollars
Salary To (High) *
$ Dollars
Salary expectations *
Per Hour
Per Day
Per Week
Per Year
Are you willing to relocate? *
If yes, any limitations or preferences?
Special Skills
What languages are you fluent in? Please list
________________________________________
Personal References
Please list a minimum of 2 personal references. These references may be family members, friends, neighbors, fellow church or community organization members or other people who know you outside of your professional environment. (enter NA where not applicable or for a blank space)
Personal Reference 1 *

Name

Relationship

Years known

Mobile phone

Home phone

Work phone

Email address

What would this person confirm regarding your character?
Personal Reference 2 *

Name

Relationship

Years known

Mobile phone

Home phone

Work phone

Email address

What would this person confirm regarding your character?
Would you like to add a 3rd personal reference?
Personal Reference 3

Name

Relationship

Years known

Mobile phone

Home phone

Work phone

Email address

What would this person confirm regarding your character?
________________________________________
Preferences

Name
Relationship
Years known
Mobile phone
Home phone
Work phone
Email address
What would this person confirm regarding your character?

Name
Relationship
Years known
Mobile phone
Home phone
Work phone
Email address
What would this person confirm regarding your character?

Name
Relationship
Years known
Mobile phone
Home phone
Work phone
Email address
What would this person confirm regarding your character?

Please check your preference to the following items *

	I Prefer	I Do Not Prefer
Animals
Problem solving
Working with children
Working with infants
Standing out
Working early in the day
Challenges
Working extra hours
Working slowly
Technology
Domestic traveling
International traveling
Managing
Night owl
Running errands
Managing others
Organizing
Doing one task
Doing a variety of tasks
Caregiving
Working alone
Working on a team
Smoking
Being active
Change
Being proactive
Following instructions
Giving instructions
Planning ahead
Being creative

I like my work environment to be: *
I know I am appreciated in my job when this happens: *
My approach to handling conflict is: *
Being flexible in my job means this to me: *
I receive instructions best *

In writing Verbally By being shown an example

Check all that apply
Extras
We all have skills that we take for granted, like having a green thumb, enjoying surfing, or a knack for party planning. Please list any special skills, training, or interests that you would like to share. *
How would you describe yourself and your personality to someone who has never met you? *
________________________________________
Authorization
I hereby affirm that my answers to the foregoing questions are true and correct, and that I have not knowingly withheld any fact or circumstance, which would, if disclosed, affect my application unfavorably. I authorize you or your agents to verify any and all information contained herein and inquire into my character, general reputation, personal characteristics and mode of living.
I release all concerned from liability in connection with any information they provide. Any misrepresentation made in this application will be sufficient cause for cancellation of the application, and/or termination from a position obtained through this company. I understand and give authorization for a full background check including criminal, and driving. I understand that completing this application does not guarantee me an interview or future employment.
________________________________________
Signature *
Clear
Your Name *
First Middle Last
When can you start work? *
MM / DD / YYYY
Date Today *
MM / DD / YYYY

	In writing	Verbally	By being shown an example
Check all that apply

EMF Contact Form

Report Abuse

	No	Basic	Intermediate	Advanced
List the different cuisines
Caribbean
Chinese
Dairy Free
French
Gluten Free
Japanese
Mediterranean
Mexican
Vegan
Vegetarian

Education

Employment History (Begin with most recent employer)

________________________________________

________________________________________

________________________________________

________________________________________

Professional References

________________________________________

Position(s)

Special Skills

________________________________________

Personal References

________________________________________

Preferences

Extras

________________________________________

Authorization

________________________________________

Employment History
(Begin with most recent employer)