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Fill out the form below to register for Dana's Housekeeping Personnel Service's network of housekeepIng Service Providers!

Our team will reach out upon receiving your request.

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)
Address(Required)
Emergency Contact(Required)

As an Independent Domestic Worker, you will receive a 1099 NEC form documenting your earnings every calendar year.
Registering with Dana's requires signing a legal agreement. Are you 18 years or older in order to do so?(Required)
As a registered Independent Domestic Worker working through Dana's as a Housekeeping Service Provider ("HSP"), you will need to travel to the referred jobs you accept. Do you have transportation?(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)
Type of Domestic Work / Housekeeping Experience:(Required)
(check all that apply)

Domestic Work / Housekeeping References

Work Reference #1
Contact Name (if applicable)(Required)
Address(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Can we contact this reference?(Required)

Work Reference #2
Contact Name (if applicable)(Required)
Address(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Can we contact this reference?(Required)

Personal/Character Reference #1
Name(Required)
Address(Required)

Personal/Character Reference #2
Name(Required)
Address(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.

Client FAQs

Some clients are allergic to the smell of smoke. Do you smoke?(Required)
Consent(Required)

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