Re-Register With Us - Dana's Housekeeping Personnel Service

Interested in re-registering to be a part of Dana's Housekeeping Personnel Service Network?

Simply fill out the re-registration form below and our team will be in touch!

Re-Registration Request Form

Independent Domestic Worker Registration Request Form

This is not an employment application. Dana's Housekeeping Personnel Service ("Dana's") is an Employment Agency and Domestic Referral Agency operating as a registry. Dana's helps Professional Independent Domestic Workers find work with clients seeking housekeeping or other domestic services. Dana's is not the employer of the Domestic Worker/Housekeeping Service Provider it refers.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Cell Phone(Required)

Home Phone(Required)

Emergency Contact(Required)

First Last

Emergency Contact(Required)

List the dates you have previously registered with Dana's.(Required)

Which Office Location(s) Were You Registered With?(Required)

As a part of Dana's registration process, prior to offering client job referrals, you will be asked to consent to undergo a background screening: Are you willing to do so?(Required)

Yes

Please Specify Your Minimum Rate/Range(Required)

Please Specify Acceptable Client Locations(Required)

Please tell us about your availability for client referrals.(Required)

The most common time that jobs are available is between 8am and 6pm. Please note your availability below. You can change your availability at any time. Please provide timely notice to Dana's of any changes in availability.

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Interested in re-registering to be a part of Dana's Housekeeping Personnel Service Network?

Re-Registration Request Form

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