Part-time PSW Application

Name *

Email *

Phone *

Which major intersection is closest to your home?

What's your current situation? Please choose more than one option (if applicable). *

• I'm looking for a part-time job.
• I'm looking for a full-time job.
• I'm a part-time student.
• I'm a full-time student
• I've completed my education for now.

How long will you continue to work for me?

• Until I find a full time job
• Until I finish school
• Indefinitely if I like the job

Which days are you able to come to Ralph's home for an hour? *

• all three days listed below
• Mondays
• Wednesdays
• Fridays

When can you arrive my place every day? *

• 1pm
• 2pm
• 3pm
• 4pm
• 5pm
• 6pm

Briefly outline any relevant work experience or training: *

How do you feel about cats? *

• I don't like cats.
• I'm allergic to cats.
• I don't mind them.
• I like cats!
• OMG! I LOVE CATS!!!!

How would you describe your work pace? *

• Very fast
• Slow but thorough.
• Fast and thorough.

On a scale from 1 to 10, how would you describe your ability to cook delicious meals (following a recipe)? *

• 10 - amazing
• 9 - really yummy
• 8 - very good
• 7 - good
• 6 - above average
• 5 - average
• 4 and below - please have paramedics on speed dial

How would you describe your work style?

• I'm a self-starter who prefers to work independently
• I'm more of a team player who likes supervision
• A bit of both

Please choose the option that best describes your command of spoken English: *

• My spoken English is superior.
• My spoken English is excellent.
• My spoken English is good.
• My spoken English is average.
• I struggle with spoken English from time to time.

From the list of duties below, please select the ones you LACK solid experience with: *

• vacuuming
• using a food processor
• using an oven
• using a stove
• cleaning homes (wiping surfaces; sweeping and mopping all rooms; cleaning sinks, toilets and bathtub)
• barbequing
• food prep
• bringing mail to the post office
• giving medication to a cat
• All the above.
• None of the above.

Are you willing to silence your cell phone while at Ralph's home and only take emergency calls? *

• Yes
• No

Can you provide work references? If hired, you'll be asked to come to Ralph's home for a PAID trial visit. *

• I'm fine with this
• Sorry, I can't do that.

Why should Ralph hire you? *

How would this part-time job fit with your current schedule? *

Submit