• Private Household Staffing Candidate Application

    Apply for luxury private household placements with Balia Referral Agency LLC. Please complete all relevant sections; some questions appear only for specific roles. An electronic signature is required before submission.

  • Basic Information

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Work Authorization Status*
  • Transportation
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  • Position Interests

  • Position Interests*
  • Desired Schedule*
  • Live-in or Live-out Preference*
  • Willingness to Relocate*
  • Travel Availability*

  • Professional Experience

  • List your employment history for up to the past 10 years. Include roles most relevant to household work.
  • Use one entry per position held, starting with the most recent role.
  • If you worked for a private household, describe the household type as specifically as possible.
  • If applicable, note whether you supervised staff, nannies, housekeepers, chefs, drivers, or other household team members.
  • If applicable, include the age range of children you cared for in each role.
  • You may leave end date blank only for your current role.
  • Briefly explain why each role ended or why you moved on.
  • Provide any additional context that helps explain gaps or transitions in your employment history.

  • Childcare Experience

  • Age Groups Experienced With*
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  • Household Management Skills

  • Vendor coordination experience
  • Travel planning experience
  • Household systems you have worked with

  • Chef/Culinary Experience

  • Cuisine specialties*
  • Dietary restrictions experience
  • Dinner party experience*
  • Provisioning and ingredient sourcing experience*
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  • Household Operations

  • Pet care experience
  • Errand types you can handle
  • Scheduling tasks you can manage
  • Home maintenance coordination experience
  • Staffing oversight experience

  • Personality & Work Style

  • Core strengths*
  • Preferred work environment*

  • Availability & Logistics

  • Weekend availability*
  • Overtime availability*
  • Holiday availability*
  • Comfort signing a confidentiality agreement*
  • Consent to background checks*
  • Comfort with surveillance systems*
  • Swim ability

  • References

  • Uploads

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  • Final Screening Questions

  • Have you ever been dismissed or asked to leave a household or employer position?*
  • Should be Empty: