Domestic Nanny Employee Application

Profile Photo *

SMILING/good light/no pouting/no peace signs

Please tell the employer about yourself *

Briefly tell us about yourself.

Job position *

If you marked you wanted to be a domestic nanny, do you want to work more with children, or do more house chores and occasionally help with the children? *

First Name *

Name.

Nickname/Name you go by - Employers

Surname *

Please provide your surname.

Please provide your email address.

Whatsapp Number *

Please provide your whatsapp number.

Date of Birth *

Nationality *

Please select from below

Work Permit or Asylum *

IF SOUTH -AFRICAN N/A

Permit Expiry Date - If Foreigner

If you are a foreigner, please load valid WORKING PERMIT AND PASSPORT this should not have already expired. If it did expire, please upload waiver slip

Province you stay in: *

City you stay in: (If Pretoria, please specify exactly where) *

City you want to work: *

Live In / Live Out *

Please select from below

What religion do you practice? *

How much can you understand and speak English? *

Can you speak and understand Afrikaans? *

Do you have a drivers license? *

Driving experience *

How many years driving experience do you have?

Do you have your own car:

Married *

Are you currently pregnant? *

How many years of work experience do you have? *

From what date are you available from? *

What is your availability *

Certificates & Education

Please LIST all of your education and certifications

Do you have a criminal record? *

Please note, we WILL do a criminal check on you before you get placed. Do NOT be dishonest when answering this question.

Do you smoke? *

Are you comfortable working for a family who has pets? *

Notes about pets/is there anything you would like to bring under our attention:

Can you cook? *

Twins Triplets Multiples Special Needs (Autism/Down Syndrome/Others) Newborn Physical Disability (Cerebral Palsy/Others) None Cleaning

CHILD or DOMESTIC related - Job History *

PLEASE CLICK ON + TO ADD A REFERENCE IT IS COMPULSORY FOR AT LEAST TWO

Job #1

Employer Name

Your Position

Start Date

End Date

Employer Phone

Employer Email

City

State

Ages of children upon hire

Job Description

CHILD CARE or DOMESTIC RELATED - References *

PLEASE CLICK ON + TO ADD A REFERENCE IT IS COMPULSORY FOR AT LEAST TWO

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

Is there anything you want to bring under our attention?

Emergency Contact Name , Number , Relationship *

How did you hear about us? *

I acknowledge that I have read, understood, and agree to the terms and conditions *

General Terms and Conditions Yes

Certificates and documents

Please upload all of your documents, certificates, diplomas and reference letters