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Nanny and Caregiver Application Form:


Fill all the fields of this Form and Submit it.
Thank you:

Date:
Gender:
Name:
Age:
Home Address:
City:
Zip:
Country:
Nationality:
Marital Status:
Phone:
E-Mail Address:


Type of Position you are seeking (check as many as apply)
Full-Time: Day-Time: Weekends:
Part-Time: Evenings: Live-In:


24 hours / Overnight: Work around school schedule:


Earliest Date Available From :
Do you have a driving license? :
Do you smoke?:
Are you a vegetarian?:
Which Languages can you speak? :
Are you happy to look after children aged any? :
Are you happy to do housework? :
Location you prefer to work in? :
Have you worked as an Aupair, Nanny or Sitter before?:
Which language do you speak fluently?:
Give us your Phone No
(If in case of emergency we contact some one for you):
Relationship to you:


Skills & attributes::
Description of character:
Childcare experiences:
Special talents:
How I spend my leisure time:


Education:


Have you had CPR?: Expiration date:
1st aid?: Expiration date:


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