Canada Atlantic Live In Care
Quality Placements For Canadian Families
 
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Employer's Application For A Nanny Form


Please Note!!
If you applying for senior care, please apply here.

Please fill in this form with as much detail as possible so we may match you with the most suitable nanny.


Required Fields **

Personal Information

** First Name:

** Last Name:

** Street Address:

** City/Town:

 ** Province:                            

** Postal Code:                      

** Telephone Number:        

Email Address:                    

General Information



** Do you have a private and furnished bedroom for the live in nanny?
Yes No

** How many children do you have?
None One Two More

** Do you allow smoking in your home?
Yes No

** Do your children require any special needs or medication? Please explain:


** What is the gender(s) and age(s) of the children requiring care?


** Please describe your family (hobbies, life style, home activities, etc.):


** Do you have pets? If yes, what part of their care will the nanny be responsible for?

** Please describe the childcare duties you would expect from a nanny:


** Please describe the household duties you would expect from a nanny:


** Please describe any dietary considerations for the children:


** What qualities are you looking for in a nanny?



** What qualities do you have that would make you a good employer?


** How many nannies have you had in the last three years?


** Where were they from? How long did each stay? Why did they leave?


** Do you see a nanny as a member of the family or as an employee?


** Please describe the features of the live in nanny's bedroom:



Miscellaneous Information


** Is this your first time hiring an employee of any kind?
Yes No

** Are you familiar with payroll procedures?
Yes No

** How did you hear about us?


** Other comments that might be helpful to us in assisting you:


Although there isn't any obligation to hire a caregiver, by submitting this form, you agree that you have read and understand the Terms & Conditions

  
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