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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
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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