Applicant Registration

Please tell us about yourself

* Denotes required fields

* First Name:

* Last Name:

* E-mail:

Address

City

State:

Zip Code

Phone

Cell

Marital Status:

Are you a US Citizen?
Yes No

Alien Card Number

Driver's License #

Do you have a vehicle?
Yes No

Where were you born?

What days off do you prefer?

Are you flexible with your hours? Please explain:

Have you ever been convicted of a crime?
Yes No

If yes, please explain:

What other languages do you speak?

Please explain your educational background:

Type of Position:

Are you willing to relocate?
Yes
No

Where:

Are you willing to travel with the job?
Yes
No

Have we placed you before?
Yes
No

Where:

Will you do laundry and ironing?
Yes
No

Will you wear a uniform?
Yes
No

Do you have any allergies to pets?
Yes No

Do you know how to serve:

Previous Employment

Employer

Phone:

Person to contact:

Salary:

Period employed from
Start month and year:

End month and year:

Job Duties:

Reason for Leaving:

Applicants

Colonial Clients

Colonial Domestic Agency proudly serves clients from the entertainment industry, HBO, Microsoft, Hewlett Packard, Fidelity Investments, and Merryl Lynch, as well as referrals from CPA's attorneys, financial planners, case managers and other trusted advisors.