Family Roadmap Application 🏡
Provide detailed family and staffing needs to find your ideal household team.
Family / Client Information
Full Name
*
First Name
Middle Name
Last Name
Primary Contact
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Communication Method
*
Please Select
Email
Phone
Text Message
Video Call
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Additional Decision Makers
Role Hiring For
Role(s) Hiring For
*
Nanny
Household Manager
Family Assistant
Housekeeper
Personal Chef
Companion Care
Estate Support
Driver
Homeschool Support
Seasonal Support
Temporary Support
Combination Role
Desired Start Date
*
-
Month
-
Day
Year
Date
Urgency
*
Immediate
Within 2 Weeks
Within 1 Month
Flexible
Other
Is This a New Role or Replacement?
*
New Role
Replacement
Combination of Both
Other
Position Structure
Employment Type
*
Full-time
Part-time
Other
Typical Schedule
*
Please Select
Monday-Friday
Weekdays with some evenings
Weekends only
Rotating schedule
Flexible/Varies
Other
Guaranteed Weekly Hours
Schedule Flexibility
Please Select
Fixed
Some flexibility
Highly flexible
Varies by week
Other
Travel Required
No travel
Occasional local travel
Day trips
Overnight travel
Frequent travel
Other
Overnight Availability
No overnights
Occasional overnights
Regular overnights
As needed
Other
Weekend Availability
No weekends
Occasional weekends
Every other weekend
Most weekends
Other
Live-in or Live-out
Live-in
Live-out
Either
Other
Children / Family Details
Number of Children
*
Children's Ages
*
Typical Daily Routines
School Schedules
Allergies
None
Food
Environmental
Medication
Other
Special Needs or Support Requirements
Household Details
Are there any pets in the household?
*
No
Yes
If yes, please specify the types and number of pets
Do any household members work from home?
*
No
Yes, full-time
Yes, part-time
Will anyone else be around while the candidate or new hire is there?
*
No
Yes, occasionally
Yes, regularly
What best describes the household environment?
Quiet
Active
Structured
Flexible
High-traffic
Other
Responsibilities
Nanny Responsibilities
Child supervision
School drop-off/pick-up
Meal prep for children
Laundry for children
Homework help
Bedtime routine
Light tidying of child areas
Activity planning
Other
Housekeeper Responsibilities
General cleaning
Dusting
Vacuuming/mopping
Bathroom cleaning
Kitchen cleaning
Laundry
Bed linen changing
Organization
Deep cleaning
Other
Household Manager Responsibilities
Scheduling
Vendor coordination
Inventory management
Errands
Bill tracking
Family calendar management
Event planning
Household systems organization
Staff coordination
Other
Pet Care Responsibilities
Feeding
Walking
Litter box care
Grooming
Vet appointments
Medication administration
Pet cleanup
Overnight pet care
Other
Cooking / Meal Support Responsibilities
Meal planning
Grocery shopping
Preparing family meals
Preparing children’s meals
Packing lunches
Kitchen cleanup
Special diets management
Food storage organization
Other
Additional Role-Specific Responsibilities
Candidate Requirements
Desired experience level
*
Please Select
Entry-level
1-3 years
3-5 years
5+ years
Senior/Expert
Other
Qualifications required
Childcare experience
Household management experience
First aid/CPR certified
Early childhood education
College degree
Valid work authorization
Other
Driving requirements
Valid driver's license
Clean driving record
Own vehicle
Comfortable driving children
Local area familiarity
Other
Desired personality traits
Reliable
Patient
Warm and nurturing
Communicative
Organized
Proactive
Flexible
Energetic
Other
Describe your ideal candidate
Compensation
Minimum Pay Rate
*
Maximum Pay Rate
*
Paid Time Off Preferences
Vacation days
Sick days
Personal days
Paid holidays
Unlimited PTO
Other
Benefits and Payroll Setup
Direct deposit
Weekly payroll
Biweekly payroll
Health insurance stipend
Transportation stipend
Meal stipend
Retirement contribution
Other
Hiring Priorities
Top Priorities
*
Childcare
Household support
Meal preparation
Driving/Transportation
School coordination
Pet care
Organization
Errands
Other
Non-Negotiables
Punctuality
Long-term commitment
Experience with children
Comfort with pets
Valid driver’s license
Weekend availability
Overnight availability
Flexible schedule
Other
Areas of Flexibility
Schedule
Duties
Hours
Location
Compensation
Limited flexibility
Other
Home Culture
Parenting style
*
Authoritative
Gentle parenting
Structured/Traditional
Flexible/Adaptive
Other
Communication style
*
Direct and concise
Warm and collaborative
Frequent updates
As-needed only
Other
Expectations for home culture
Interview Process
Preferred interview format
*
In-person
Video call
Phone call
Panel interview
Other
Decision timeline
*
Please Select
Within 1 week
Within 2 weeks
Within 1 month
Flexible
Other
Are you prepared to move forward with hiring once the right candidate is presented?
*
Yes — ready to hire
Yes — within 1–2 weeks
Maybe — still exploring
No — just gathering information
What compensation range are you comfortable committing to for the right candidate?
*
Are you open to adjusting compensation based on market guidance?
*
Yes
No
Maybe
Can you commit to responding to candidate submissions within 24–48 hours?
*
Yes
No
I will try
Do you have any non-negotiable requirements that would immediately disqualify a candidate?
If you had to prioritize, what matters MOST in this hire?
*
Experience
Personality fit
Schedule flexibility
Budget
Longevity
Have you employed household staff before?
*
Yes
No
What challenges did you experience?
What would delay you from hiring the right candidate?
Are you the final decision-maker for this hire?
*
Yes
No
Shared decision
Are you comfortable with Balia managing the candidate selection and presentation process?
*
Yes
No
I have questions
Are you ready to begin the placement process ?
*
Yes
No
Need more info
Final Notes
Add in anything you may want to add
Final notes
Preferred method of communication for updates
Please Select
Email
Phone
Text Message
Video Call
Other
Additional household members
Expected salary range
Languages spoken in the household
English
Spanish
French
Other
Other
Special considerations or requirements
Submit
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