Solutions Home Staffing places full-time (40 hours weekly, long-term) management-level household staff.

Please fill out the form below to register your family/household.

Name

First Name

Last Name

Name of Any other Adult in Household

Email Address

Spouse or secondary Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone

(###)

###

####

Spouse or secondary Phone

(###)

###

####

Place of Employment

How did you hear about Solutions Home Staffing?

What type of staff are you seeking?

SHS does NOT place cleaners or housekeeping staff.

What is the weekly schedule to be worked?

Describe your staff needs, please be specific

When do you need to hire this staff member?

Any addition information you would like to share

According to the application material I have read, the above registration form has been completed accurately to the best of my knowledge

Yes

Electronic Signature

Submitting Email

Date

YYYY

Upon receipt of this form, we will contact you as soon as possible.