Worker Pre-Employment Application

Aplicación de Pre-Empleo para Trabajadores

Complete this form once to register / Complete este formulario una vez para registrarse

Contact Information / Información de Contacto

Background / Antecedentes

Driving / Conducir

Experience / Experiencia

Certifications / Certificaciones

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Job Preferences / Preferencias de Trabajo

Domestic Skills / Habilidades Domésticas

Availability / Disponibilidad

Summary / Resumen

Uploads / Archivos

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Security Features Active:

  • Virus & malware scanning
  • File type validation (no executables)
  • Size limits enforced (10MB max)
  • Rate limiting protection
  • Encrypted file storage
  • Audit logging enabled

Secure File Upload

Protected by virus scanning, file validation & encryption

Accepted: PDF, JPG, PNG, WEBP • Large images will be automatically optimized.

Security Features Active:

  • Virus & malware scanning
  • File type validation (no executables)
  • Size limits enforced (10MB max)
  • Rate limiting protection
  • Encrypted file storage
  • Audit logging enabled

Secure File Upload

Protected by virus scanning, file validation & encryption

Accepted: PDF, JPG, PNG, WEBP • Large images will be automatically optimized.

Security Features Active:

  • Virus & malware scanning
  • File type validation (no executables)
  • Size limits enforced (10MB max)
  • Rate limiting protection
  • Encrypted file storage
  • Audit logging enabled

References / Referencias

Reference #1 (Required / Requerido)

Reference #2 (Optional / Opcional)

WORKER AGREEMENT

Nanny / Domestic / Caregiver Agreement

Heidi's Helpers, Premier Nannies Florida, Verified Nannies, and affiliated entities

NANNY / DOMESTIC / CAREGIVER AGREEMENT
Premier Nannies Agency, Inc. — Heidi's Helpers — Verified Nannies
Copyright © 1998 – All Rights Reserved

This Agreement is entered into between the Applicant ("Worker") and the Placement Agency ("Agency"). The Agency includes: Heidi's Helpers, Premier Nannies Florida, Verified Nannies, and affiliated entities. By applying, registering, interviewing, or accepting any referral, the Worker agrees to the following terms.

1. AGENCY ROLE

The Agency operates as a referral and placement service and is not the direct employer. All employment relationships are between the Worker and the hiring Client.

2. PLACEMENT FEE AGREEMENT

If the Agency introduces the Worker to a job and employment begins, the Worker agrees to pay one (1) week of gross salary as a placement fee. This fee is separate from client fees, is solely the Worker's responsibility, and is due after the first week of employment. It may be split into two payments if approved by the Agency. Failure to pay may result in collections and legal enforcement.

3. PLACEMENT PROTECTION & NON-CIRCUMVENTION

Any opportunity introduced by the Agency is fully protected. The Worker agrees not to accept employment outside Agency coordination if the opportunity originated from an Agency introduction. This includes introductions involving clients or families, household members, relatives or in-laws, friends or neighbors, social circles, business associates, and second or third-party relationships.

4. NO TIME LIMIT

There is no time limitation if employment can be traced to the original Agency introduction. Protection remains enforceable indefinitely.

5. REFERRAL PROTECTION + $10,000 PENALTY

The Worker agrees not to work directly for an Agency-introduced client, refer friends or relatives to that client, connect neighbors or acquaintances, or facilitate placements outside Agency approval. If breached, the Worker agrees to pay $10,000 liquidated damages, reimbursement of lost Agency fees, and all legal costs and enforcement expenses. This applies if referral circumvention is reasonably confirmed.

6. WRITTEN AUTHORIZATION REQUIREMENT

All employment discussions involving Agency introductions must be approved in writing by the Agency. Unauthorized placements remain subject to Agency fees and penalties.

7. CONFIDENTIALITY (LIFETIME)

The Worker agrees to maintain strict confidentiality regarding any non-public information learned through the Agency or clients. This includes: client identities, children's information, addresses and routines, security details, travel plans, medical or financial information, and household operations. Confidentiality begins at first contact and survives indefinitely.

8. SOCIAL MEDIA RESTRICTIONS

The Worker agrees not to post or share content related to clients, homes, children, or Agency placements without written consent.

9. REPUTATION PROTECTION

The Worker agrees not to publish false or harmful statements about the Agency, its owners or staff, or clients and affiliates. This includes social media, reviews, and public forums. Concerns must be addressed privately first.

10. TRADE SECRETS & AGENCY STRUCTURE PROTECTION

The Worker acknowledges exposure to proprietary Agency information including: placement systems, pricing models, contracts and templates, client sourcing methods, recruitment workflows, screening procedures, databases and forms, marketing strategies, and digital platforms or automations. All such materials are confidential trade secrets.

11. NON-REPLICATION / ANTI-COPYCAT CLAUSE

The Worker agrees NOT to copy Agency structure, start a competing agency using Agency knowledge, recreate contracts or workflows, use Agency pricing models, recruit Agency clients or staff, or build similar systems from exposure — even if modified or rebranded.

12. TRADE SECRET BREACH PENALTIES

If the Worker uses Agency knowledge to build or assist a competing agency, replicate Agency operations, or divert candidates or clients, the Worker agrees to minimum $10,000 damages, additional proven losses, and all legal fees and enforcement costs.

13. INFORMATION ACCURACY

The Worker certifies that all information provided is truthful. The Agency may conduct background checks and share relevant placement information with clients.

14. PAYMENT RESPONSIBILITY

Clients are solely responsible for paying the Worker directly. The Agency is not liable for salary disputes, workplace conditions, taxes, or benefits.

15. HOLD HARMLESS

The Worker agrees to indemnify and hold harmless the Agency from claims arising from employment conduct, negligence or misconduct, and workplace disputes.

16. TERMINATION RIGHTS

The Agency may terminate the relationship immediately for misconduct, false information, breach of agreement, or confidentiality violations. All obligations survive termination.

17. DISPUTE RESOLUTION

Disputes shall first be addressed through good-faith negotiation. If unresolved, disputes shall be resolved through binding arbitration under Florida law. Jurisdiction: Palm Beach County, Florida.

18. ELECTRONIC SIGNATURE

Typing your name and submitting constitutes a legally binding electronic signature under ESIGN laws (U.S. Electronic Signatures in Global and National Commerce Act, 2000).

↑ Scroll up to read the full agreement before signing

Please upload Resume and Government ID before submitting
Por favor, suba el Currículum y la Identificación antes de enviar

WWW.PREMIERNANNIESFLORIDA.COMPremierNannies Agencyin FloridaTop Nanny & DomesticStaffing Agencyin Florida★ SINCE 1998 ★

Premier Nannies Agency in South Florida

Premier luxury nanny agency and domestic staffing since 1998. Heidi, CEO.

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Service Areas: Palm Beach County, Broward County, Miami-Dade County, FL - Other Cities and States Placement Staff Upon Request.

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Premier Service Areas in South Florida

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