Employer Application

 (* indicates mandatory fields)
    Employer Contact Information
      * Full Name:
    		Home Phone:
      Street Address:
    		* Cell/Bus Phone:
      * City & Province:
    		 Fax:
      Postal Code: * Email:
      Best time to call:
    Morning Afternoon Evening
    Nanny / Caregiver Specific Information
    * Type of Placement: (Select all that Apply)
    Childcare Elderly Care Housekeeper
    Full-time Live-In Full-time Live-out Part-time Live-In
    Part-time Live-out
    When would you like the nanny to start?
    As soon as possible 3 months or more  
    Preferred Gender:
    Male Female Doesn’t Matter
    Age Preference:
    18-29 30-40 41-50
    50+ Doesn’t Matter  
    Do you require a nanny/caregiver with a driver's license? (only local caregivers)
    Yes No  
    Nannies & Caregivers typically work 5 days a week, for example, Monday-Friday. If you need additional days, or have an un-usual schedule, please describe:
    Approximately, how many hours are you expecting the nanny/caregiver to work per week? 
    If you have any dogs or cats, please check the appropriate box(es):
    Dog(s) Cat(s)  
     
    Persons Requiring Care
    How many people will be requiring care?
    Please describe the nanny/caregiver's living area: (For Live-In Only)
    Approximate square footage of your home: (optional) 
     
    NANNY/CAREGIVER DUTIES & EXPECTATIONS
    Please list all duties as well as your expectations (be as detailed as possible as this will help us match you best).
    Nanny/Caregiver Duties:
    Expectations of Nanny/Caregiver:
     
    Interview Availability
    Please use the time table below to select the times you are available for interviewing candidates. If you wish to select more than 1 time slot per day, please click on the 'Add Time Slot' button below.
    Mon Tues Wed Thurs Frid Sat Sun
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    Complete
    Verification Code:
    Enter Verification Code: