Terms and Conditions
Replacement Agreement
Qualifications

 
  On line Registration  

 

Nanny Application

You are about to complete an application form for employment in Canada. Be sure to answer all questions. This is your opportunity to make a good impression on your future employer. Good Luck!

Personal Information: (as shown in your passport)
First Name
Last Name
Date of birth
Current age
Nationality
Place of birth
Height
Weight
Religion
Marital Status
Do you have any children: yes No
Age

 

Contact Information

Address
Day phone
Evening phone
Best time to reach you
Fax
Email
 

 

Family Information

Name of Spouse
Occupation
Address
Father's Name
Occupation
Address
Mother 's Name
Occupation
Address
Number of Brothers
Number of Sisters
Where are you in the birth order

 

Educational Information:
Name of School Attended

Elementary
Year graduated
High school
Year graduated
College/University
Year graduated
Degree
Do you have a first aid certificate?
Yes No
If no, are you willing to obtain one in Canada?

 

Employment History
 Begin with you present employer
1. Employer's Name
 Address
Number of children you cared
Period of contract:
From To
List main duties
Reason for leaving
2. Employer's Name
Address
Number of children you cared
Period of contract:
From To
List main duties
Reason for leaving
3. Employer's Name
Address
Number of children you cared
Period of contract:
From To
List main duties
Reason for leaving

 

Other information related to your application
1.Check the activities that you enjoy doing with children
Art work & coloring Crafts Story telling Puzzles
Story reading Walks / hikes Ball games Bike riding
2.What do you prepare for children’s snack food?
3.Are you willing to drop off /pick up children from school? Yes No
4.On a scale of 1-10 (10 being the highest) please rate yourself honestly.
Patience
Honesty Control of temper
Neatness Household chores Cooking
Trustworthy   Caring for the family that you work for
5.Do you smoke?
Yes No if yes, how many per day?
6. Do you drink alcohol?
 Yes No if yes, how frequently?
7.Do you have a valid driver’s license?
Yes No How long have you been driving?
Have you had any accident?
Yes No
8.Have you had any illnesses (physically, mentally) in the past 12 months?
Yes No
If yes, please state
9.Are you prepared to take charge of a household when parents are:
 At work
On Vacation
10.Will you work for a:
Single parent Disabled child / adult
Elderly person Family of any religion
11. Can you work for a flexible schedule
Yes No
12. Can you work overtime if paid extra
Yes No

13. Are you willing to work in the following areas?
Rural areas City Small towns
14.When are you available to work in Canada?
15. Are you willing to drive in Canada?
16. Do you have any friends or relatives in Canada?
Yes No
A. Name Telephone
Occupation    
Address
B. Name Telephone
Occupation    
Address
17. How did you hear about the agency?
18. What activities do you enjoy doing in your free time?

19. Tell us about your family: