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Member Registration
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Username
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Password
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Screen Name
If you leave this field blank, your screen name will be the same as your username
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Email Address
URL
Address (Current)
Street
Province
Country
Postal Code
Contact Method
How would they like to be contacted?
Cell
Work
Email
Mail
Home Phone
Work Phone
Email Address
Country of Birth
Date of Birth
Languages
Marital Status
SIngle
Married
Divorced
Number of Children
What is your religion
Age of Children
What Countries Have You Been To?
Do You Drive?
Yes
No
Do You Have an International License?
Yes
No
Are You Willing to Learn?
Yes
No
Will you work in a rural setting?
Yes
No
What days do you want to have off?
Do you like pets?
Yes
No
Do you have allergies?
Yes
No
Are you on a special diet?
Yes
No
Do you smoke?
Yes
No
Do you swim?
Yes
No
What sports do you play?
What is your hobby?
Describe your personality
How do your friends describe you?
How does your employer evaluate your work?
In which country did you work as a live-in Nanny?
How long did you work in this country?
Have you worked with special needs children?
Yes
No
How long have you worked with special needs childr
How many children are you willing to look after?
1
2
3
4
5
6
7
8
9
What were the ages of the children you have cared
Have you had experience working for elderly client
If so, how long?
do family laundry?
no
yes
do full house keeping?
no
yes
do light house keeping only?
no
yes
drive children to school?
no
yes
prepare meals for family?
no
yes
provide pet care?
no
yes
bathe the children or elderly clients?
no
yes
do arts and crafts with the children?
no
yes
Elderly illness and condition:
Describe your experience
How would you describe your experience with regards to their health, illness, age and condition in relation to your duties and responsibilities?
What types of food are you able to cook?
College
Enter your college and Year Graduated
University
Enter your University and the year graduated
Course Completed
Courses completed and year graduated
Caregiver Course
Care giver course and year graduated
First Aid / CPR Training
First Aid / CPR Training and year graduated
Have you been involved in any organization?
Enter organization and the year you graduated.
Have you done any volunteer work?
Enter year and type of service
Employer Last Name
Employer First Name
Employer Middle Name
Employer Address
Employer City
Employer Province
Employer Country
Employer Phone
Employer Email
Start Date
Finish Date
Position
Number of Children
Ages
Elderly Client
Elderly Clients Age
Elderly Condition
If you cared for an elderly client describe their condition
Duties and Responsibilities
Reason for Leaving
city
Please explain why an employer would like to hire
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