RM_StatsFirst Name *Enter your first nameLast name *Enter your surnameEmail *Contact NumberEnter your phone numberDate of Service *Full Time/Part Time/Single Service *Select an optionFull TimePart TimeSingle ServiceDo you require multiple days of cleaning?If part-time, How many days per week?Select an option123456Only change this if you've selected a part time workerDo you want a Live-In Helper? *Select an optionYesNoDo you require the worker to live at the establishment?Number of Elders? *How many elders do you need us to care for?Any other information/ skill needed?Preferred Contact Method? *Select an optionMobileEmailIf mobile, What time should we call you?Do You Accept These Terms? *Please note live-in assistants goes home every 2 weeks. Please note standard work days are 8 hours. However provisions can be made otherwise. Locations outside of Kingston will attract an additional cost for transportationTerms of Service Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
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