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     Personal Information
   
 
First Name*
Last Name*
Address*
City*
State/Province
(for candidates who are already in Canada)
Country*
(Where do you live now)
Zip/Postal Code
Phone Number*   
 include country code and area code
Alternate Phone number   
include country code and area code
Mobile phone number
Email Address*
Password*
(at least 6 characters)
 
   
   
 
      About Me
 
 
Gender*
Female   Male  
Date of Birth*      
 
Country of Residence*
My Nationality Is*
Marital Status*
Religion/Spiritual Practice
Do you have your own children?*
YesNo
Do you have a criminal record?*
YesNo
Have you applied previously for an employment authorization for Canada?*
YesNo
Was your application rejected?*
YesNo
Do You Have a Valid Driver's License?*
YesNo
Do you have a vehicle you are willing and able to use on the job?
YesNo
Smoking Status*
Smoker  
Non-Smoker  
Smoker but will abstain when with children  
Can You Swim Well?*
YesNo
Are you comfortable with pets?*
YesNo
 
English Level *
French Level *
My first language is *
Other
Language(s) spoken *
English   Spanish  
French   German  
Italian   Chinese  
Japanese   Mandarin  
Portuguese   Russian  
Vietnamese   Hebrew  
Arabic   Hindi  
 Others:
My Health Is*
Height
Weight
Are you allergic to any food or anything that may prove to be life threatening?
Please describe the details
Describe yourself *
(Families will see this description on the results page when they do a search, so it's important to make it convey something special about you. Typically, nannies sum up their background, feelings about children and what they offer in the role of a nanny or caregiver.)
 
 
 
      Position Preference
 
 
Specializing In:*
Childcare  
Elderly Care  
Disabled Care  
 Others:
What duties are you willing to perform?*
Cooking/Meal Preparation  
Housekeeping  
Running errands  
Laundry  
Ironing  
Grocery Shopping  
 Others:
 
 
      Education
 
 
Education/Training*
Associates Degree   Bachelor's Degree  
College   Graduated High School or Equivalent  
High School   Master's Degree  
C.N.A. Certification (Certified Nurse Assistant)   Certified Elderly Care Training  
College Child Education Courses   First Aid Certificate  
LVN\LPN Degree   Certified Nanny Training  
CPR Training    
 Others:
 
Education (start with the last studies)*
Dates Attended Name of School/College/University Main Subject Studied Diploma achieved
       
From:
To:
       
From:
To:
       
From:
To:
       
Education Comments 
 
 
 
      Experience
 
 
I have prior paid work experience as a*
Nanny  
Caregiver for Elderly  
Caregiver for Special Needs  
 Others:
Total number of years of  full time paid experience  *
How many professional references are you willing to provide?
Your professional experience (list the name of employers in descending order)*
Briefly describe your work experience (describe your past jobs that relate to the position of a live-in caregiver. Please be as detailed as you can (dates, Ages of Children, Responsibilities) )*
From/To Name of Employer Employer Address Position Name
       
From:
To:
Description:
       
From:
To:
Description:
       
From:
To:
Description:
       
From:
To:
       
Description:
   
Childcare experience within the following age groups:
Newborn - 3 months   3 - 12 months - Infant  
1-2 Years Toddler   2-4 Years Preschool  
5-12 Years School-age   13-18 Years Teenager  
special needs children   twins, triplets  
   
Elderly Care - Check the following Diagnosis with which you have experience and skills:
Alzheimer's   Amputee  
Arthritis   Bedridden  
Brain Tumor   Cancer  
Cataract Removal   Chemotherapy/Radiation Treatment  
Congestive Heart Failure   Decubitus Ulcers  
Dementia   Diabetes  
Dialysis   Fractured Hip  
Hearing Impairment   Hepatitis  
Hospice   Incontinence (diapers)  
Malnutrition   Osteoporosis  
Paralysis   Parkinson's  
Pneumonia   Quad/ Paraplegic Care  
Shingles   Speech Impairment  
Stroke   Ventilator Dependent  
Visual Impairment    
 Others:
 
Experience Comments
References:  (list the name of previous employers and phone numbers)*
Name of Employer Employer Address Phone Numbers
     
     
     

 
 
I declare that the above information is true and
I have answered the above questions to the best of my knowledge and belief.

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