Applicant Registration 1/3

You have about 5 minutes per page to fill out the registration, in case you are running out of time, click on NEXT at the bottom of the page, doing so will extend the time by another 5 minutes. Your contact information will be used only by ABC Nannies Agency and not released to a third party.

Basic Information Name:

Last Name:

Login name(max 6 characters):

Password (max 6 characters):

Confirm password:

Date of birth(Optional):

I'm in an age group:
Country of birth:
Sex:
Marital status(Optional):

I am looking for position Nanny
Nanny/Housekeeper
Housekeeper/Manager/Butler
Elderly/Disabled Caregiver
Looking for Temporary job
On Call

Live in

Live out

Are you interested to work on call?
Yes No
What days?

I'm willing to commit for:

Availability and Location Information: Your status in Canada:
Country of nationality:
Province to work in :

Select all the following locations of your choice:

Specific location (city):
Specific location (city):
Specific location (city):
Specific location (city):
Specific location (city):
Specific location (city):
When did you arrive to Canada?
When are you available to start

Driving & drivers license

Yes, I have drivers license

Type of license: since:
How long have you been driving?
In what country did you most driven?

Yes, I have a car.

Education & Languages Your highest level of education:
I have degree in:

What languages do you speak?

English
Francois
Spanish
Italian

Cantonese
Mandarin
Punjabi
Hindi

German
Czech
Slovak
Russian

Other(s) language(s):

What certificates do you have?

ECE
Live in Caregiver Program

NNEB
First Aid and CPR

Certified midwife
Certified Nurse

Responsibilities

What kinds of responsibilities are you willing to do?

Children's meals
Children's laundry
Driving
Light Housekeeping
Traveling with Family
Care for twins

Family meals
Family laundry
Family ironing
(Un)load dishwasher
Vacuum
Wash floors
Sweep floors
Dusting
Bathroom clean

Elderly care
Disabled care
Pet care
Personal Care
Giving Medication
Groceries Shopping

Are you willing to cook?
Yes, No
Western (Canadian), European, Vegetarian, Asian.

How many children you are willing to be responsible for:

What ages of children would you be willing to care for:

any age
0-3 months
3-12 months

1-2 year
2-5 year

5-10 year
10+ year

Expected salary (monthly net):
Minimum Wage:
or hourly wage: Gross Net

Care

How many persons have you looked after at one time?
person(s)

What were their ages?

Children
0-3 months
3-12 months
1-2 year
2-5 year
5-10 year
10+ year
Twins

Elderly
20-30
30-40
40-60
60+

Disabled
Yes No

Were you solely responsible for the children in your last positions?
Yes No

What did you best like about your last care position (childcare or elderly care)?

Are you willing to take care of a child with special needs?
Yes No

Are you willing to take care of elderly?
Yes No

Hobbies & Health & Habits

Do you play any musical instruments?
No, Yes:

Do you have any allergies?
No, Yes:

Do you smoke?
No, Yes

Do you have First Aid or CPR?
No, Yes:

Are you willing to take the First Aid & CPR course?
No, Yes

What do you do on your days off?

How would you describe your personality?

What sport activities can you do? Please mark it from 1-5 (5 being the highest)

Swim:
Skate:
Ski:
Roller Blade:
Ride Bike:

How is your health?

Do you suffer from any illnesses preventing you from working with children or elderly?
No, Yes:

Have you been charged with a crime?
No, Yes: