Name *

First Name

Last Name

Phone *

Country

(###)

###

####

How did you hear about Jaz Helpers? *

Google Search

Tik Tok

Instagram

Facebook

Referred by a Friend

Others (please specify)

Is this your first time hiring a helper? *

Why we ask: First-time employers are required to attend the Employer Orientation Programme (EOP) by MOM. Knowing this helps us guide you through the correct steps and provide the support you need throughout the hiring process.

YES

NO

6. Type of Residence *

Why we ask: The size and type of home can affect the workload and the helper’s tasks, especially in larger homes or multi-story residences.

3 Room HDB

4 Room HDB

5 Room HDB

EA/EM HDB

Condominium

Landed Property

7. Helper's Sleeping Arrangement *

Why we ask: To ensure the helper has appropriate living conditions, as per Ministry of Manpower (MOM) regulations.

Own Room

Shared Room

Common Area

11. Preferred Number of Rest/Off Days for Helper *

Why we ask: Helpers are entitled to rest days, and understanding your preference helps us align expectations and comply with MOM guidelines.

1 day

2 days

3 days

4 days

14. Have a minimum household income of $30,000 per annum? (Approximately $2,500 per month) *

Why we ask: This helps ensure you meet MOM’s financial requirements for hiring a helper and may determine eligibility for levy concessions.

YES

NO

15. Are you currently receiving any caregiving subsidies or assistance for elderly or disabled family members? *

Why we ask: If you are already receiving support, it may help streamline the process for applying for additional grants or concessions.

YES

NO