If you would like Park Cities Home Staffers to begin a search for your home staffing needs, we first need to get a few things out of the way. Please complete the form below then download, sign, and return our placement agreement.
First Name:  
Last Name:  
Address:  
City:  
State:
Zip Code:  
Home Number:  
Work Number:
Mobile Number:
Email:
Living Arrangements:  
Days of Employment:
(check all that apply)
Monday Tuesday Wednesday
Thursday Friday Saturday
Sunday
Hours of Employment:
Ages of Children:
Driving Required:  
Car Provided:  
Duties Expected:
Animals Present:  
Pool at Location:  
Employment Date: (MM/DD/YYYY)
Salary Willing to Pay:
Vacation/Holidays Paid:  
 
BY SUBMITTING THIS JOB DESCRIPTION, CLIENT UNDERSTANDS AND AGREES THAT AGENCY WILL NOT COMMENCE SEARCH UNTIL AGENCY RECEIVES A FULLY EXECUTED PLACEMENT AGREEMENT.