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First name              

Last name       

Gender         Male     Female

City    Country 

Age            

Marital status:       married   single

Phone (with country and area codes)   

Cell phone (with country and area codes)   

E-mail     Fax

Citizenship      

Country and city of Birth   

Do you have foreign passport?     Yes        No 

Passport expiry date:  Day  Month Year

When can you start working? Month Year

Do you have Driving License?       Yes        No 

Do you smoke?            Yes        No                                                                                     

Are you healthy? Do you have any serious deceases or special diet?    

English level (1 ... 5)  spoken    written

French level (1 ... 5)   spoken    written

What is your native language? 

What other languages do you speak?

 

Education 

Middle school, high school, college, university, courses related to work with children, art school, music school, sport team, etc.

Please, indicate: 1) Dates of entering and graduation  2) Name of school/college/ university  3) What kind of Diploma/Degree/Certificate  did you get 4) City, country  of issue

 

Work experience

Please, indicate:  1) Dates 2) Children's  ages when you began working with them  3) How many hours did you work per week/day  4) Name of employer 5) Your duties in brief

 

   дополнительная

Заполняется после оплаты наших услуг.

Address 

#Appt.     Building       Street

City     Country     Postal Code

 Date of Birth   Day      Month       Year

When did you get Driving License? Year

Have you ever got penalty? If yes, tell the details

Do you have First Aid Certificate?     Yes        No                   

Do you have brothers and sisters, what are their ages?

Did you help mother to look after them?

How many children maximum you are ready to work with? 

What ages of children do you prefer to work with? 

Less than 1 year   

1 year - 5 years   

5 years -  10 years  

10 years and over

 

Are you vegetarian?    Yes        No    

Do you have any allergy (for food, medicine, animals, etc.)?  If yes, give the details

Do you like pets? Will you work for families with cat or dog?                Yes      No    

Where do you want to work?     In big town        Any town 

 

What duties related to childcare did you have?

dress/undress        change diapers    bath       cook      read children books   tell stories           feed          craft    play at home            play outside         drawing     walk    ride bicycle               rollerblading        swimming pool    drive to/from school  doing puzzle        help with homework

What other duties did you have?

 

Can you do housework?

clean up     make bed        grocery shopping      iron    cook           vacuum           mop the floor           laundry dishwasher  

What other duties did you have? 

 

Your art, sport and other achievements:

swimming     skiing       riding bicycle       basketball   horse back riding             volleyball            football       hockey         dance        drawing              craft       

Do you play any musical instrument?  

Your hobbies

Your height?     cm       Your weight?       kg

 

Nanny for Canada
Tel. 1-778-891-5251
e-mail: info@nannyforcanada.com

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