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Domestic/Home Service Registration Application
Personal Information Informacion personal
First Name: (primer nombre)*
Last Name:Apellido*
E-Mail:Correo Electronico*
Address Line 1:Direccion*
Address Line 2: Direccion
Home Phone:Telefono de Casa*
Cell Phone: Cellular*
City: Ciudad*
State: Estado*
Zip Code: Area Postal*
Employment status sought? Estado de Empleo*
Gender: Genero*
WHAT TYPE OF WORK ARE YOU SEEKING? Que tipo de trabajo esta buscando?
I have verifiable W-2 or 1099ed experience in the following fields Tengo un W-2 o 1099ed*
   Bar keeping (private party)
   Errands/Shopping
   Gardening/ yard work
   Handyman
   House cleaning
   Ironing
   Laundry
   Nanny/ Sitter
   Organizing
   Serving/ Wait staff
   Window washing
   Other
   None
I am primarily seeking to be matched with jobs in the following field: Quiero un trabajo asiendo:*
   Bar keeping (private party)
   Errands/Shopping
   Gardening/ yard work
   Handyman
   House cleaning
   Ironing
   Laundry
   Nanny/ Sitter
   Organizing
   Serving/ Wait staff
   Window washing
   Other
available start date: Dia disponible*
 
Do you have reliable transportation: Tiene transportation?*
   yes
   no
Are you currently self employed? Trabaja por su cuenta?*
   yes
   no
Are you looking to be self employed? Estas buscando ser autonomo?*
   yes
   no
Do you have your own equipment and supplies to do your job? Tiene su propio equipo y sumistros para ser el trabajo?*
   yes
   no
Do you have your own business license and/ or liability insurance? Tiene su propia licencia comercial y/o seguro?*
   yes I have both
   no I do not have either
   I have a business license but not the Insurance
   I have liability insurance but not the business license
How much work are you looking for?Cuanto trabajo estas buscando?*
   a couple of jobs per month
   a couple of jobs per week
   please fill my schedule I need lots of work
   I want to only get jobs when my business schedule is light
Please briefly describe your professional experience and how it relates to the trade your offering to do
Describe your experience
References - Please list 3 Business references of persons/ companies you`ve done this type of work for Porfavor liste 3 referencia
1 ) First Name: Primer Nombre*
Last Name: Apellido*
Address Line 1: Direccion 1
E-Mail: Correo Electronico
Phone: Telefono*
Phone: Telefono
2) First Name: Primer Nombre*
Last Name: Apellido*
Address Line 1: Direccion 1
E-Mail: Correo Electronico
Phone: Telfono*
Phone: Telefono
3) First Name: Primer Nombre*
Last Name: Apellido*
Address Line 1: Direccion 1
E-Mail: Correo Electronico
Phone: Telefono*
Phone: Telefono
Please upload your Resume: Porfavor suba su curriculum
 
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