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Request an Elderly Caregiver

Our nannies/caregivers are Trustworthy, reliable and qualified, all our applicants are personally interviewed and pre screened. “Serving Canadian families since 2001.”

Please complete the below form to start the process of finding an elderly caregiver or live-in caregiver in Toronto. We will screen are caregivers and match them to your needs.

Attached Pictures of Yourself

PERSONAL DATA:

Position Desired:

First Name:

Last Name:

Philippines Address:

Hong Kong Address:

Hong Kong Tel No:

Cell No:

Email Address:

Date of Birth:

Place:

Height:

Weight:

Passport No:

HK ID No:

Citizenship:

Name of Husband:

Number of Children:

Name:

Age:

Name:

Age:

Name:

Age:

Father Name:

Occupation:

Mother Name:

Occupation:

Person to be Contacted in Case of Emergency:

Their Address:

Their Tel No:

Special Courses:

Drivers License:

Date Obtained:

Country:

Automatic:

Manual:

Caregiver Course:

Date Completed:

Duration of Course:

Basic First Aid:

Date Completed:

Swimming Ability:

Cooking Skills:

Do you like pets:

Other:

EDUCATIONAL BACKGROUND:

Languages You Can Speak:

Elementary School:

Date Graduated: (Elementary School)

High School:

Date Graduated: (High School)

College:

Date Graduated: (College)

Courses:

College:

Date Graduated:

Courses:

EMPLOYMENT RECORD:

(from present work backwards)

Employer:

Date Started:

Country:

Date Finished:

Position:

Age of Children looked after:

1)
2)
3)
4)

Job Description and Duties:

Employer:

Date Started:

Country:

Date Finished:

Age of Children looked after:

1)
2)
3)
4)

Total years in childcare experience:

Total years in elderly care experience: