Executive Domestic
Executive Domestic Eldercare Companions
A business line of the Award Winning
Seattle Nanny Network, Inc.
www.SeattleNanny.com

Executive Domestic Online Client Application

First Name: *
Last Name: *
Address: *
City: *
State: *
Zip: *
Home Phone: *
Home Email: *
Cell Phone:
Work Phone:
Work Email:

Employee you are looking to hire:*

Job Description of the person you seek to hire:*
*200 words or less

Approximate total hours per week:*

Required work schedule: (Please check all that apply.)

MondayAM to PM
TuesdayAM to PM
WednesdayAM to PM
ThursdayAM to PM
FridayAM to PM
SaturdayAM to PM
SundayAM to PM

Approximate salary offered:*
Per hour:  $

Approximate start date:*
(mm/dd/yy)

How did you hear about Executive Domestic? *200 words or less

Please contact an Executive Domestic Placement Coordinator at (425) 803-9511 from 8:00 a.m. to 4:00 p.m. Monday through Friday.
You may request information at info@executivedomestic.com and one of our trained coordinators will promptly assist you in your search for quality care.
The Seattle Nanny Network, Inc - Kirkland, WA 98033 - Fax (425) 803-6855