DISTINCTION HOME CARE SERVICES

 

 

 

 

Employers

Working together with families and fully understanding your needs is what we do best. We have an extensive database of qualified candidates for child care, elderly care, companions, and housekeepers. Our company is confident that we can find a close match to meet your family's domestic needs. Please contact us by phone or complete the Domestic Help Request Form below providing us with all the details. As soon as we receive your request, we will contact you with an ideal match.

Caregiver/Domestic Help Request Form

Your Name:
Home Phone:
Work Phone
E-mail:

Location of Caregiver Employment

Do you require a live-in caregiver? Yes No  Doesn't Matter

Do you require a full-time caregiver?  Yes  No

If you require a part-time caregiver, please describe the days and hours of work:

 

Will the caregiver be looking after children?  Yes  No

Please indicate the number and ages of children and a description of required caregiver duties:

 

Will the caregiver be looking after an elderly or handicapped?  Yes  No

Please describe the required caregiver duties:

 

Housekeeping Duties

Laundry
Ironing
Vacuuming
Dusting
Cooking
Meal Preparation
Care for Pets

 

Do you require the candidate to have a driver's license?  Yes  No

 

Other requirements and comments: