Nanny Candidate Form

Profile Pic *

Please upload a profile picture.

Bio *

Briefly tell us about yourself.

First name *

Please provide your first name.

Last name *

Please provide your last name.

Date of Birth *

Identification number *

Gender *

Do you smoke? *

Vape or Cigarettes

Email *

Please provide your email address.

Phone *

Please provide your phone number.

Street address *

City *

Province *

Zip / Postal Code *

Nationality *

Please state where you come from

Do you have a valid work permit/visa? *

Type of permit/visa: *

Permit/visa number: *

Working Permit

Only applicable if your not from SA. Please make sure your permit is still valid

Highest level of education *

High School *

Job position *

Do you have a valid driver's license?

Please upload your Drivers License

Do you have your own reliable vehicle? *

Starting date *

Job duration availability *

Short-term (1-3months), Long-term (4-12months)

Preferred Schedule

Please tell us your preferred week schedule.

Infant (Birth - 2 Years) Toddler (2 - 3 Years) Early Childhood (3 - 5 Years) Middle Childhood (6 - 11 Years)

Do you have experience working with special needs? *

Physical Developmental Behavioural / Emotional Sensory Impaired

References

Add your work references below. Click + to add more entries.

Reference #1

Reference full name

Full address

Reference phone

Reference email

Years known

Under what circumstances do you know this individual?

Job History

Add your work history below. Click + to add more entries.

Job #1

Employer Name

Your Position

Start Date

End Date

Employer Phone

Employer Email

City

State

Ages of children upon hire

Job Description

Additional information

Please state any special information.

Criminal Record Check

Please contact us if you need assistance obtaining your Criminal Record

Do you hold valid first-aid or CPR certification

Identification *

Please upload your ID

Certificates and Qualifications

Please upload any Certificates or Qualifications

Are you willing to sign a contract outlining your responsibilities?

Do you consent to the agency verifying your references, qualifications, and background information? *

Please note - We will have to undergo verification

Have you read our T's an C's ?

Please ensure you have read our Terms and Conditions before submitting this form. By submitting, we will assume that you have read and agreed to our Terms and Conditions.

Candidate Terms of Use Yes

How did you hear about us? *

Reference #1

Job #1

By completing and submitting this form, you acknowledge that you have read, understood, and agree to our terms and conditions.