Placement Profile Form Tell us more about your family!Your Name First Last Your Location:*TucsonPhoenixDFWPlease share more about your children here. Include names, ages, interests, any medical conditions we should be aware of, etc.Do you have pets? If yes, please share pet type. Do you have any additional residents living in the home other than your immediate family - relatives or extended stay guests? If yes, please explain.Use this space to write your family bio! Have fun with it!This bio will be shared with candidates that we are considering for your position. Let your family's personality shine as you share general information about who you are as a family and what qualities, skills, talents, etc. your ideal candidate has. Your Ideal CandidateYears of Experience and Type: Languages Spoken: Education Level: Physical Requirements (necessary for performing job duties): Special Qualifications/Certifications: Please list any other preferences. (Be specific)Please list the three most important qualities you are seeking in a candidate.* Please list any “deal breakers” or other factors we don’t already screen for that would automatically disqualify a candidate.Would you consider a candidate who wanted to bring her own child to work? Yes No Unsure If yes, please describe acceptable age range and circumstances.Job DescriptionTell us about the position that you are offering. This information will be used to formulate your job posting ad. Position Start Date: MM slash DD slash YYYY Position End Date (optional): MM slash DD slash YYYY Work Hours (per week): Minimum Guaranteed Weekly Work Hours: Pay rate range (gross): Please provide the employee’s weekly work schedule: (days and times)Do you anticipate this schedule changing? No Yes If yes, please explain.What would your ideal length of employment be? Will you be offering health insurance/health stipend? Yes No Unsure If yes, please explain:Paid Vacation Time: Yes No Unsure If yes, please explain.Paid Sick Days: Yes No Unsure If yes, please explain.Paid Personal Days: Yes No Unsure If yes, please explain.Paid Holidays: Yes No Unsure If yes, please list the paid holidays.Please list/describe any other benefits you will be offering with this position.(Vehicle, gym memberships, cell phone, etc.)Would you like to require that your employee attend child care and/ or child development classes/seminars or other training courses either through the agency or outside of the agency? Yes No Unsure If yes, please explain.Do you plan to withhold taxes? Yes No Unsure Are you interested in learning more about a household employer tax and payroll service? Yes No Will you require the candidate to travel? Yes No If yes, please explain.Are you interested in hiring a live-in? Yes No Unsure If yes, will you be offering private living quarters (bedroom and/or bathroom?) Please explain.Please write a complete job description including required tasks.Does the position require on-the-job driving? If so, please explain.(Mileage reimbursement is standard when requiring on-the-job driving, unless a vehicle is provided.)Family ProfileWhat role does religion play in your home, if any?Are there any “off-limits” foods in your household or rules associated with meals?Will you be providing any meals or snacks during working hours?Will the candidate be working with you in the home? Do you envision working together as a team or do you want the person you hire to “take over” even though you are there? How will you communicate your expectations for the day to him/her?Please list and explain your personal “pet peeves” as it pertains to the person you select for this position.Please describe any problems area that you are currently experiencing in your home (i.e. behavioral, personal, etc.)Are you open to receiving tips and advice from an experienced professional?Have you ever used a referral agency before and how was your experience?Please list any additional information that may help us in our search for your next hire.Please list the best days/times for interviewing candidatesCAPTCHA