HOUSEHOLD PROFILE
Will you work in a home with dogs?
Select...
Yes
No
*
Will you work in a home with cats?
Select...
Yes
No
*
Will you do PET CARE for dogs?
Select...
Yes
No
*
If YES type of DOG care?
Will you do PET CARE for cats?
Select...
Yes
No
*
If YES type of CAT care?
Will you travel with family?
Select...
Yes
No
Maybe
*
Do you have a current passport?
Select...
Yes
No
*
Will you work with a non working parent at home?
Select...
Yes
No
Maybe
*
Will you work in home with home office/business?
Select...
Yes
No
Maybe
*
Will you work with other staff in home?
Select...
Yes
No
Maybe
*
What is your preferred working environment?
Select...
Casual
Part of Family
Formal Service
*
Will you wear a uniform if required at work?
Select...
Yes
No
Maybe
*
EXPERIENCE
Babysitter Experience:
Select...
none
less than 6 months
6 months to 1 year
1year to 2 years
2years to 5 years
over 5 years
*
Baby Nurse Experience:
Select...
none
less than 6 months
6 months to 1 year
1year to 2 years
2years to 5 years
over 5 years
*
Nanny Experience:
Select...
none
less than 6 months
6 months to 1 year
1year to 2 years
2years to 5 years
over 5 years
*
Teaching Experience:
Select...
none
less than 6 months
6 months to 1 year
1year to 2 years
2years to 5 years
over 5 years
*
Special Needs Experience:
Select...
none
less than 6 months
6 months to 1 year
1year to 2 years
2years to 5 years
over 5 years
*
Pre-mature Infant:
Select...
Yes
No
*
Newborn Infant:
Select...
Yes
No
*
Toddler:
Select...
Yes
No
*
Pre-School:
Select...
Yes
No
*
School Age:
Select...
Yes
No
*
Twins:
Select...
Yes
No
*
Triplets:
Select...
Yes
No
*
Please check your Special Needs experience: *
Please check experience if applying for baby nurse position. *
SKILLS: (highlight all that you will do with children)
Do you swim:
Select...
Yes
No
*
Do you drive:
Select...
Yes
No
*
Will you bring your own car to work?
Select...
Yes
No
*
Will you use your own car for work?
Select...
Yes
No
*
Will you drive children for: *
Do you have current CPR training:
Select...
Yes
No
*
Do you have current First Aid training:
Select...
Yes
No
*
What activities will you do with children? *
Can you assist with homework?
Select...
Yes
No
*
What grade level can you assist with homework? *