Employment Application Domestic Staffing

Job Application

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Agreement

All answers provided both in this application and given during any interview are true, correct and complete, and that I have not omitted any information.
If any answer is found to be false or misleading, any employment will be immediately terminated.

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Subject

Your Message

Please describe why you are seeking a childcare/domestic position at this time

Applicant / Agency Agreement

By checking boxes and typing my name below, I am electronically signing my application. *

I understand that I am now under agreement with Joanna Gray Agency, LLC and am obigated to report to ALL phone calls, interviews and jobs that I have been offered by any of the agency's clients, or its client's friends, neighbors, relatives and associates. This includes all people I have met who I would not have met if I were not affiliated with the agency.

I agree not to be employed by any of these people unless I have obtained authorization to do so from the agency directly.

I understand that the above mentioned people must pay the appropriate fee to the agency in order to employ me and that it is my responsibility to check with the agency to make sure that the fee has been paid.

I agree not to refer my friends, relatives and/or affiliates to the above mentioned (agency clients, friends and family) associates, for employment purposes.

I agree to pay the agency $10,000 and any legal fee's incurred by the agency if I violate the terms of this agreement.

I declare that all the statements and answers in this application are true and complete and agree that any untrue or misleading answer, omission, concealment or failure to answer any questions fully, completely and accurately may be grounds for terminating my employment, regardless of when it is discovered. By completing this application, I give this employer permission to validate some of my answers with the appropriate authorities/institutions.

I authorize this employer or its agents to investigate my references, to review my former employment record and to keep and preserve records of such investigations. Additionally, I release all parties from liability for any damage that may result from furnishing information to this employer or its agents.

Print Name (Signature) : *

Date Signed:

I have been verbally instructed and I agree to the terms of this employment contract. *

Initial: *

Date

Atlanta | 813-203-0713

https://www.joannagrayagency.com

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Employment Application Domestic Staffing

Personal Information

Skill Section

Child Care Skills

Health Information

Education Section

Previous Employment

First Reference

Second Reference

Third Reference

Agreement

want to know about applying for a position or hiring one of our staff? Contact Us

Contact Us

Employment Application Domestic Staffing

Personal Information

Skill Section arrowup6

Child Care Skills arrowup6

Health Information arrowup6

Education Section arrowup6

Previous Employment arrowup6

First Reference arrowup6

Second Reference arrowup6

Third Reference arrowup6

Agreement

want to know about applying for a position or hiring one of our staff? Contact Us

Contact Us

Skill Section

Child Care Skills

Health Information

Education Section

Previous Employment

First Reference

Second Reference

Third Reference