application nannies

							Applicants Full Name:                                           Live-in                F/T
                                                   Looking
                                                   for
                                                                                       P/T days
                                                   Position:
                                                             Live-out
Applying for position Nanny                Nanny/Housekeeper        Housekeeper                   Elderly care
Expected salary (monthly net):               Hourly wage:        Date of Birth:                      Age:

                                                        Gender:
Your Nationality:
What is your Status in Canada?                           When did you arrive to Canada?

What location do you prefer to work in?

When are you available to start?                               How long are you willing to commit for:

Do you have a drivers licence?                     Date of issue:                  Do you have a car?

Education / Degree/Certificates:


What other languages do you speak?

What kinds of responsibilities are you willing to do ? (mark with X the once that apply to you)
Children’s meals                      Family laundry                Vacuum
Children’s laundry                    Family ironing                Bathroom clean
Light Housekeeping                    Load and unload dishwasher Elderly care
Family meals                          Wash floors                   Personal Care
Number and ages of children you are willing to be responsible for:

How many children have you looked after at one time?

What were their ages (children or elderly)?

Were you solely responsible for the children in your last positions?
What did you best like about your last care position (childcare or elderly care)?




Are you willing to take care of a child with special needs?

Are you willing to take care of elderly?

Do you cook?                    Western             European              Vegetarian          Asian
                                (Canadian)
www.aupairagentur-cefelin.de                  030 36461700           arbeitsvermittlung.cefelin@online.de
Do you play any musical instruments?                     If yes, what?
Do you have any allergies?                                 Explain:
Do you have First Aid or CPR?                              Issued:
Are you willing to take the First Aid & CPR course?
What are your hobbies and interests:



What sport activities can you do? Please mark it from 1-10 (10 being the highest)
Swim                Skate                Ski               Roller blade       Ride Bike
How would you describe your personality:


 How is your health?                        Do you suffer from any illnesses?

 Do you smoke?                              Have you ever been charged with criminal assault?


If it's bad weather outside and the children are bored what would you do with them?




What are some of the safety concerns that you should always be aware of when looking after children/
disabled/ elderly?




If a child/ elderly were to become injured how would you respond?




What activities do you like to do with children/elderly?




Elderly/ Disabled Care Only- Do you have experience with patients diagnosed with:
Alzheimer’s                                              Diabetes
Dementia                                                 Depression
Chronic obstructive pulmonary disease                    Multiple sclerosis
Cancer                                                   Osteoporosis

       www.aupairagentur-cefelin.de        030 36461700         arbeitsvermittlung.cefelin@online.de




WORK HISTORY WITH CHILDREN OR ELDERLY Please give a brief description of your work history with
children including your responsibilities, years of experience, ages of children cared for and your job title. If you need more
space for your past employment history, you can attach another page to your application after filling out # 1), 2) and 3).
1) Name of present/last employer :                                                      Telephone #
Email Address                                                                           City/Province
                                                                                        Employed (Date) from-to:
Ages of children/ elderly when you started:
What were your duties and job title?                                                    Reason for leaving:




2) Name of last employer                                                               Telephone #
Email Address:                                                                         City/Province
Ages of children/ elderly when you started:                                            Employed (Date) from-to:

What were your duties and job title?                                                   Reason for leaving:




3) Name of last employer :                                                             Telephone #
Email Address:                                                                         City/Province
                                                                                       Employed (Date) from-to:
Ages of children/ elderly when you started:
What were your duties and job title?                                                   Reason for leaving:




 Cover Letter/Letter for the Family:                              Summarize your childcare/care-giving experience
I ____________________________________ give this information to ABC NANNIESCANADA on the date of

Month ______Date_____ on my own free will and state that all the of the information submitted is of a true nature.
www.aupairagentur-cefelin.de                      030 36461700                  arbeitsvermittlung.cefelin@online.de
      Important (print):

 Your full present address____________________________________________________

 City:     _________________________________ Postcode ___________________

 Telephone # _________________________ E-mail address_________________________________

 Cell # (yours, family member)____________________________________________

 Please email us the application form back. If you are Canadian/Landed Emigrant you will need to obtain a Criminal Record
 Check . If you are looking to relocate to a different Province/City please email or mail us your picture, your reference letters,
 cover page.
 .