Candidate Inquiry Form
Introduction
Name:
*
Mr.
Mrs.
Ms.
Dr.
Prefix
First Name
Last Name
Suffix
Email address:
*
Confirmation Email
example@example.com
Best phone number:
*
-
Country Code
-
Area Code
Phone Number
Is this a cell phone number?
*
Yes
No
Preferred method of contact?
*
Phone Call
Text Message
Email
What is your desired job location?
*
Maryland
Washington DC
Virginia
Texas
Florida
California
Select all areas of interest
Please tell us the nature of your inquiry
*
I am interested in learning about job representation through Duchess Nannies & Domestics.
I have general questions about Duchess Nannies & Domestics.
Desired start date?
*
How did you hear about us?
*
Referral, Linked-in, fb/IG, etc.
Please verify you are not a robot:
*
Submit
ADMINISTRATION
for Office Use-only
Account #:
Status Code:
Interview:
Schedule Notes:
Should be Empty: