*E-MAIL |
|
*First Name |
|
Middle
Name |
|
*Last Name |
|
*Home Address
(PO Box Not
Accepted) |
|
*Country |
|
*Present Employer Address |
|
*Telephone # (include area
code) |
|
Fax #
(include area code) |
|
Mobile
# (include area code) |
|
*Indicate if this position is
for |
Children
Elderly
Disabled |
*Highest Educational
Attainment |
|
*Diploma/Degree Obtained? |
|
*Additional Education and
Training |
|
*Date of Birth |
|
*Place of Birth |
|
*Nationality |
|
*What languages do you
speak? |
|
*Religion |
|
|
*Your Marital Status |
|
*How is your general
health? |
|
*Passport Number |
|
*Expiry Date |
|
*Working VISA expiry date |
|
|
*Can you swim? |
|
|
*Do you drive? |
|
Hobbies |
|
|
*Will you work with
Dogs/Cats? |
|
*Can you cook? |
|
*What types of food? |
|
|
EMPLOYMENT
HISTORY:
Please begin with your present
employer |
*Employer Name: |
|
*Position |
|
*Date of Employment |
|
Finish
Date (Leave blank if not sure) |
|
*Ages of persons under
care |
|
*Country |
|
*Duties/Responsibilities |
|
*Reason For Leaving |
|
|
Employer Name: |
|
Position |
|
Date
of Employment |
|
Finish
Date |
|
Ages
of persons under care |
|
Country |
|
Duties/Responsibilities |
|
Reason
For Leaving |
|
|
Feel free to
email us any previous related employment
information. |
CHILDCARE
EXPERIENCE
*What ages
of children have you cared for in the
past? |
0-8 months
9-18 months
18 months to 2
years
2-4
Years
4-6 Years
6-10 Years
10-12 Years
12 & up |
*What capacity of care did you
provide? |
|
*Have you taken a first aid
course? |
|
*Have you taken a caregiver
course? |
|
*Are you willing to work for a
single parent? |
|
|
*Do you have Eldercare
experience? |
|
|
*Will you take full charge of
children in your employers absence? |
|
*What activities did you do
with the children? Please specify |
|
*What outdoor sports did you do
with the children? Please specify |
|
|
Please rate your
level of skill for each of the following
duties. |
*Please explain why you make a
good caregiver |
|
*Please take this opportunity
to write a letter from you to a perspective
employer. Explain what you are all about,
provide as much detail as you can. |
|
|