DOMESTIC EMPLOYMENT REFERRAL CONTRACT (USA)
THIS AGREEMENT made effective as of the _____ day of ______________, _______.
[NAME OF AGENCY]
- and -
[NAME OF EMPLOYEE]
WHEREAS Agency is able to provide placement opportunities in domestic employment, and Employee
wishes to use Agency’s services to secure a domestic employment position, all on the terms and
conditions hereinafter set forth;
NOW THEREFORE the parties hereto agree as follows:
1. Employee understands that Agency is acting solely as a referral agent and Employee shall not
become an employee of Agency as a result of this Agreement. Employee is under no obligation to accept
any referral to or position from any party to which Agency refers Employee.
2. Agency shall make every reasonable effort to provide Employee with suitable employment
3. Employee shall inform Agency of any contracts or job offers that may arise as a result of
Employee’s job search, including the acceptance of any position. Agency is not obligated to find
Employee a position and shall not be held responsible for any unsuccessful employment referrals.
4. Any and all information about any prospective employers that Employee may be given or may
come across in the course of the referral process shall be kept confidential at all times.
5. Employee shall be responsible for any and all travel expenses and travel arrangements to relocate
for any employment referral Employee may accept. Employee shall make his/her own agreement with
the employer for reimbursement or any other such compensation.
6. Employee shall not be required to pay any fees for the referral services of Agency. Any Agency
referral fees shall be the obligation of the employer.
7. Employee acknowledges that there is a contractual agreement between Agency and the employer
and Employee agrees that he/she may not commence work with any employer until such time as
permitted by any agreement between Agency and the employer.
8. Employee agrees to make a minimum ____________________ (__________) [insert the number of
months in both words and numerals] month commitment to any employer with which Employee agrees to
THIS IS A 2-PAGE FORM.