Applicant: Family name:  
First name:  
Street, Nbr:  
Zip code/city:  
Telephone:  
Telephone 2:  
Telefax:  
Mobile:  
E-mail:  
Nationality:  
Date of birth:  
Place of birth:  
Your size:  
Your weight:  
   I apply for:
 % Housekeeper % Nanny|governess % Driver
 % Cleaning lady % Nanny|nurse % Bodyguard
 % Housekeeper|nanny % nurse for the elderly % Allrounder
 % Housekeeper|
                 lady's companion
% Caretaker (couple) % Gardener
 % Housemaid % Servant (couple) % Cook
 % Matron % Butler|Major Domme % Private secretary
 % Home help % Child´s nurse % Spare man
 % Babysitter % Childminder % Stockman
   Desired countries (multiple choice):
 
           
 
           
           
           
 
           
           
           
           
 
           
           
 
Other countries:  
   Desired place(s):   Zip code(s)                     City
    
  Germany      Other countries  
   Desired
   working hours:
  Core time:  
  Full time      Part time      24-Hrs.-Service possible  
  W/E service sporadic possible  
  W/E service continous possible  
   Desired position:  
   Occupation:  
   Graduation:  
   Special training(s):  
   Proof of training(s):  
   Licences/patents:  
   References:  yes      no     Type:  
  yes      no     of private households at hand