Au Pair Nanny Caregiver Agency Inc.
web site: www.caregiveragency.com
Please mail the attached 3 page Direct Hire Employment Application with the requirements to:
Au Pair Nanny Caregiver Agency Inc.
P.O. Box # 76128 Millrise R.P.O.
Calgary, Alberta
Canada, T2Y 2Z9
phone: 001.403.3997122 e mail: aunanny@yahoo.com
Please send via post mail photocopies of the following requirements (1-5) with your application:
1. One head photograph for the application form and four or more color pictures of you at work,
in training, with children, with family …with your alaga if possible …paste the pictures to
blank paper and write a short description.
2. Three reference letters (support / recommendation / character) stating you are good with
children, reliable, caring, hard working, responsible, resourceful, enjoy cooking … etc.
3. Passport Visa and Picture page, Resume, Transcripts and Diplomas from: College / University
4. Copy of your Contract, Birth Certificate, NBI, Caregiver Certificate, First Aid Certificate
Any type of awards or certificates … Drivers license or learners permit (if you have them)
5. Letter to your future employer on page four. Write you love children, helping with homework,
sports, going to the park, games, indoor and outdoor activities…playing with the children.
For more information please contact us via phone, email or text messaging.
We have a Filipina secretary to provide free friendly advice.
Thank you for your interest in our agency.
Sincerely,
Colin Ryan, M.A.
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Direct Hire Employment Application
Au Pair Nanny Caregiver Agency Inc.
P.O. Box # 76128 Millrise R.P.O.
Calgary, Alberta
Canada, T2Y 2Z9
photo
Name _____________________ _______________________ _________________________
Present Address Mailing Address (if different)
______________________________________ ______________________________________
______________________________________ ______________________________________
______________________________________ ______________________________________
Cell / Mobile Phone # ____________________________ _______________________________
Philippines Phone # ________________________ Fax # _____________________________
E-mail address _______________________________________ Passport # ________________
Date of Birth __________________________ Place of Birth ______________________________
Country of Residence ________________________ Citizenship __________________________
Age ______ Height ______ Weight ______ Years of Caregiver Experience ________________
Marital Status Single Married Divorced Widowed
Spouse’s Name ____________________ If you have children state their ages _____ _____ _____
Languages or Dialects you can speak or write __________________________________________
High School _____________________________________________ ______________________ name years attended
College/University________________________________________ ______________________
name years attended
Degree/Specialisation _____________________________________________________________
Other courses or training ___________________________________________________________
_______________________________________________________________________________
Please check all the applicable boxes:
Live-in Child Care Disabled Care Elderly Care
Can you drive? Yes No Do you smoke or drink alcohol? Yes No
Can you swim? Yes No Do you have childcare experience? Yes No
Can you cook? Yes No Do you have First Aid Training? Yes No
Will you do pet care? Yes No Will you do housework? Yes No
Do you have allergies? Yes No If yes, please explain ___________________________
_______________________________________________________________________________
WORK EXPERIENCE
childcare / elderly / disabled
Employer __________________________ Dates Employed _____________________________
Address _________________________ Contact Phone(s) ____________________________
_________________________ ____________________________
_________________________
_________________________ May we contact this employer? Yes No
Ages and gender of the individuals you provided care to __________________________________
Duties __________________________________________________________________________ ________________________________________________________________________________
________________________________________________________________________________
Employer __________________________ Dates Employed _____________________________
Address _________________________ Contact Phone(s) ____________________________
_________________________ ____________________________
_________________________
_________________________ May we contact this employer? Yes No
Ages and gender of the individuals you provided care to __________________________________
Duties __________________________________________________________________________ ________________________________________________________________________________
________________________________________________________________________________
REFERENCES
Name __________________________________________ Phone _________________________
Name __________________________________________ Phone _________________________
Emergency Contact _______________________________ Phone _________________________
List your skills / abilities / activities / hobbies / interests / awards: ________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________
Write a message to help the employer choose you as their employee. Describe your caregiver experience … expand on the list above… please tell us about yourself.
Dear future employer, ______________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________
Applicant’s Signature ______________________________ Date __________________________