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Housekeeper Application

 

First Name:*
Last Name:*
Date Of Birth:*
NI Number:*
Address:*
Contact Number(s) :*
What is your email address?:
   
Do you have a car?* Yes No
How far are you willing to travel?*
   
Do you have children of school age?* Yes No
If yes do you have cover for school holidays?* Yes No
   
When can you start?*
   
Days & Times available:*
   
Smoker?* Yes No
Phobias?* Yes No
Ongoing Illnesses etc.?* Yes No
Allergies?* Yes No
Ironing?* Yes No
On Benefits?* Yes No
   
Permission for Police check?* Yes No
   
Additional Comments:
   
Work Experience:*
   
Previous Work Reference:* Name:
  Details:
  Tel Number:
   
Social Reference:* Name:
  Details:
  Tel Number:

* = required details

I  declare that the information above is accurate. I understand that it is forbidden to approach existing Belle Casa clients to go private with me.
I understand that if any of the above is breached then I will be removed from Belle Casa list of approved housekeepers and any existing clients that I have will be allocated to other housekeepers.

I agree to give two weeks notice should I decide to resign from Belle Casa and recognise that if I fail to do so I will be held responsible for any costs involved in providing my clients with emergency cover. I also accept full responsibility for client’s keys whilst in my possession.

I confirm that I  take full sole responsibility for any taxation and national insurance issues, should they be relevant.

Check to agree to the above statement Yes No

 

 
Belle Casa
 

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