Candidate - J Danielle

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(858) 225-8198 | staffing@jdanielle.com

| 6012 Paseo Delicias #3, Rancho Santa Fe CA 92067

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1Personal Info

2General Preferences

3Duties Include

4Additional Requests/Notes

Family name*
Email*
Phone*
How did you hear about us?

Approx. Start date
Location Address
Full time, Part time, Temp?
- Full time
- Part time
- Temp
Male or female preference
- Male
- Female
Desired Days/Hours
Pay rate approx. range*

(Please indicate hourly or salary)
Health benefits/401K applicable?
- Yes
- No
Live-in or Live-out?
- Live-in
- Live-out
- Either
If Live-in, separate living quarters?*
- Yes
- No
Relocation costs covered (if applicable)?
- Yes
- No
Household is Casual, Semi-formal or Formal?
- Casual
- Semi-formal
- Formal

Typical caregiving duties include…
Administer medication?
- Yes
- No
Manage other staff?
- Yes
- No
Light housekeeping?
- Yes
- No
Cooking?
- Yes
- No
Shopping?
- Yes
- No
Driving / errands?
- Yes
- No
Help with family/kids/pets?
- Yes
- No
Would be really nice if….
Please add….

Any allergies to be aware of?
Special requirements?
It would be really nice if…
Advanced Background Check from 3rd party + $60
- Yes
- No

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Jamie Danielle Staffing

6012 Paseo Delicias #3
Rancho Santa Fe CA 92067
Email: staffing@jdanielle.com
Phone: 858.225.8198
Fax: 858.724.1442

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