THE KATIE FACEY AGENCY

GREENWICH . LOS ANGELES . NAPLES
THE PREMIER NATIONWIDE DOMESTIC PLACEMENT FIRMŽ

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Prospective Candidate Inquiry Form

Please Note: The form below is NOT our application but is an initial online inquiry form to request more information. Should you wish to initiate your search with The Katie Facey Agency , please begin by completing this form and a member of our placement staff will be in touch upon our review. Along with your form, please submit the items below via E-mail to initiate the placement process. Please send the resume and Personal Statement as Microsoft Word documents to : resumes@katiefaceyagency.com

1. Current Resume
2. Personal Statement

Question: What is a "Personal Statement?"
A "Personal Statement" is a 1-2 page autobiographical letter about yourself detailing the following information:

1. Personal background
2. Educational history
3. Professional experience
4. Hobbies & interests
5. Childcare/service philosophies
6. Type of position you seek

* required field

Contact Information

First Name*

Last Name*

Street Address*

Apartment/Unit Number

City*

State*

Zip Code*

Country

Home Telephone*

Mobile Telephone

E-mail Address*

Position Information

Position you seek

Desired start date:
Month

Day

Year

Locations you are seeking placement (states, cities, counties)*

Type of position, please check all/any which apply:
Full-time Part-time Live-In Live-Out Permanent Temporary

Desired gross (before taxes) annual salary requirement

Please check all details which apply to you as an applicant, if applicable:

Willing to make a one-year commitment to a permanent position
Valid U.S. Drivers License
United States citizen or you possess legal work documentation
Infant Experience
Speak another language besides English
If you checked yes, please list languages:

Multiples Experience (twins, triplets, etc.)
Special Needs Experience
Willing to work with a stay-at-home parent
Own an automobile which you can take to a new position if requested
Willing to travel with the family
CPR/First Aid certified
Can swim
Cooking skills

Personal Details

Years of professional experience

Educational Background

High School
Year of Graduation

Some College

College/University Associates Degree
Major

College/University Bachelors' Degree
Major

Masters' Degree
Major

Doctoral Program
Major

Professional Training Schools
Name

Please give a brief outline as to your experience as it applies to your desire to begin or continue a career as a professional childcare provider or domestic professional

Please give a detailed description as to what your "ideal position" is

Please list the top five qualities which you would use to describe yourself
1.
2.
3.
4.
5.

Additional Details

How did you hear about The Katie Facey Agency?

When is the best time to contact you?

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