Job Seekers
Thank you visiting us online. We make every effort at Maison Agency in helping you find the position that best suits your
interest and needs. If you have childcare, nanny, housekeeper, personal assistant or elder care skills & experience please fill
out the form below. As soon as we receive your initial application we will contact you to arrange an interview with us to
determine your skills and competencies. Maison agency requires all job-applicants to have at least one year of household
experience with excellent checkable references.

There is NO cost to you to work with our agency.
First Name:
Last Name:
Home Address:
City:
State:
Zip Code:
Home Phone Number:
(XXX) XXX-XXXX
Cell Phone Number:
(XXX) XXX-XXXX
Email Address:
How many years of experience
do you have in your field?
please specify (e.g. 5 yrs Nanny, 3 yrs Companion etc)
Type of household  
position:
(check all that apply)
Nanny
Companion & Caregiver
Housekeeper
Basic Housecleaner
Baby Nurse
Type of work
arrangement:
Live-in
Live-out
Full-time
(30 hours per week
or more)
Part-time
(less than 30
hours per week)
Weekend
What days you are willing
to work?
Mon.
Wed.
Fri.
Sun.
Tues.
Thurs.
Sat.
Are you currently certified?
Infant/ Child CPR
Nurse's Aide
Baby Nurse
Adult CPR
HHA/ PCA
First Aid
Nursing Assistant
Can you drive a car and have a
valid Driver's License?
Yes
If yes, how long have you
been driving?
Yrs
No
Do you have a car that you
can bring to work?
Yes
You have:
US Driver's License
No
International Driver's License
Please tell us about your 2 most recent jobs:
Dates of employment:
Position:
Location (City, State):
Duties & Responsibilities (please also provide the
age of children you have been taken care of):
(Month/ Year)
(Month/ Year)
From:
To:
Can you provide references from
your former employers?
Yes, I have references and will provide them upon request
No, I do not have any references
Please describe your  employment
preferences (e.g. working hours,
children's age you have worked
with, your school schedule (if any)
and the area you can work etc)***


*** Please do not offer too narrow preferences.
This is only an initial application. Please be assured that all information submitted above will be held in
strictest confidence and will be used only for the purpose of introducing you to perspective employers.
Submitting this information is not a guarantee of employment. Based on the results of the entire
interview process, we will match your skills with suitable job offers.
Address: 100 Park Ave, 16th Fl, New York, NY 10017 Tel: (212) 844-9763 Fax: (212) 504-3044
Copyright © 2005 Maison Agency Inc. All rights reserved.
Interviews are by appointment only. Based of the information you provide, Maison Agency will contact you once we've
determined you are fully qualified for a position.

PLEASE NOTE: Due to the high volume of inquiries we receive daily, we are unable to respond to every email we receive.

1. Your online application/ resume will be kept on file with Maison Agency for three years.

2. We only interview applicants for the positions we have currently available.

3. Unfortunately, we are unable to assist those who are looking for a career change. Maison Agency requires you have a
minimum of 1 year recent experience in whichever position you are applying for.

4. Interviews are by appointment only. Unfortunately, we do not accept walk-ins at this time.

5. If your employment preferences have changed since your last online application please contact our agency asap to update
our records (e.g. you applied online searching for a live-out position, but later decided to accept a live-in position or you
applied for a PT position but now you can work FT etc).
          All job Applicants are required:
  • a minimum of 1 year recent work experience within
    your profession
  • Verifiable references
  • Ability to speak English
  • Consent to a full background check
  • Resume & Letters of recommendation are a big
    plus
  • 1 year commitment  (for all permanent positions)