American Home Staffing, LLC.  |  ph: 609.439.1000 or 609-730-9939  |  Hopewell, New Jersey   08525

 

Ph:  609-439-1000 or 609-730-9939             

Family Application

The Client Application Process
It is essential to fill out the application carefully since it is so important in the matching process. The application can be submitted online.

After receipt of the application you will receive a phone call to review the application and go over any questions you may have. The next step is to match your information with the caregiver applications on file and proceed with the interviewing process. You will receive a phone call letting you know about interested care-givers, and you will choose the ones that you would like to interview.

Interview may be held in our office or the comfort of your home.

If you call the office and reach the answering machine, it is because I am in an interview. Please leave a number where I can reach you and a convenient time for me to call back. If it is easier for you to review the application during evening hours please leave an evening phone number as well. I answer all calls in a timely manner and try not to keep you waiting too long. I look forward to working hand-in-hand with you in the future to find the best possible employee for your family.

Scroll down to fill out an on-line application or click the link below to download and print an application.

DOWNLOAD OUR CLIENT APPLICATION

First Name
M.I.
Last Name
Address Line 1
Address Line 2
City
State
Zip Code
Country
E-mail Address
Home Phone:
Office Phone
Fax
Bold = Required field
Position To Be Filled:
Other Position
When do you need the new caregiver to start working?
This position is
Requirements

List work-schedule days and hours:

Monday

Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Holidays
Travel Requirements
(List locations where the caregiver will accompany the family)
If the vacations are at the same time on a yearly basis, please list dates
Accommodations
Other
Bedrooms
Bathrooms
Family Room
Den
Kitchen
Living Room
Name
Age
Age
Name
Age
Name
Age
Name
Pets
Describe any special needs your family may have: (for example, dyslexia, down syndrome,hyper-activity, etc.)
Please give a description of a typical day in your household, and what duties the caregiver is to perform. I realize this could change somewhat on a daily basis, but it does serve as a guideline when presenting a position to a caregiver.
Do you need someone who:
Additional Requirements
(List language needed if bi-lingual, cooking styles, and grade levels for homework helpers, or any other specific areas for educational help.)
If you have had a caregiver in the past, please describe her/his best qualities
What areas needed improvement?
Describe her/his personality:
(quiet, outgoing,personality plus, etc.)
Did you hire a live-in or live-out caregiver?
What hours did your caregiver work?
How did you hear about American Home Staffing, L.L.C.?
If Newspaper, give name:
Additional Comments:
Companions are usually for the elderly and are limited to non-medical positions. They include driving to appointments, running errands, housekeeping, and being a presence in the household)
If your caregiver is to be a live-in employee, please specify living accommodations:
If your employee is required to do housekeeping, please fill in  the size of your home:
Please list the names of all family members and the ages of your children (elderly):
Please submit $175.00 application fee to start the process.
This payment can be mailed to and the address listed on contact us.
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