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Nanny & Caregiver's Application Form: Fill all the fields of this Form and Submit it. Thank you: Date: Name: Gender: Age: Home Address: City: Zip: Country: Nationality: Marital Status: Phone: E-Mail Address: Type of Position you are seeking (check as many as apply) Full-Time: Day-Time: Weekends: 24 hours / Overnight: Part-Time: Evenings: Live-In: Work around school schedule: Earliest Date Available From : Do you have a driving license? : Do you smoke?: Are you a vegetarian?: Which Languages can you speak? : Are you happy to look after children aged any? : Are you happy to do housework? : Location you prefer to work in? : Have you worked as an Aupair, Nanny or Sitter before?: Which language do you speak fluently?: Do you know any other language? : Give us your Phone No (If in case of emergency we contact some one for you): Relationship to you: Skills & attributes:: Description of character: Childcare experiences: Special talents: How I spend my leisure time: EDUCATION:: Have you had CPR?: Expiration date: 1st aid?: Expiration date:

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