A - Class Nannies & Caregivers Inc. © 1997 Canadian nanny and caregiver referral service that has provided alternative, affordable, qualified and experienced in-home care to Canadian families across Canada that requires childcare, elderly care, care for the disabled and care for special needs for temporary or permanent.

 

Online Local Application Form

 

You are about to complete Online Local Application Form, kindly read the instruction below and complete our  Online Local Application Form truthfully and to the best of your knowledge.

 

The information that you will provide on this Online Local Application Form will be viewed by prospective families-employers, so it is essential that you provide the best answers and have the time answer all the questions on this Online Local Application from, remember you are looking for employment. So this is your chance for employers to see your profile and qualification. Families-employers will base your qualification on all your answers, so be sure to write down as much information as possible. Please do not settle for YES or NO answers only, try to explain your answers. Your chances to be hired sooner will depend on how you express yourself.
 

Note:

Please do not press ENTER on your computer while filling out the form. Pressing ENTER will send the form automatically even if you are still in the middle of filling out. Press tab to go to the next question.

 

Kindly submit photocopies of the following documents that is applicable to you:

 

  • Diploma, if applicable;

  • Certificates, if applicable;

  • Letters of Reference, if applicable;

  • Employment Letter of current or previous employers, if applicable;

 

Please bear in mind that we take our applications seriously. Providing less and incomplete information can result with your application not being accepted or not being employed. If you seriously want employment in Canada please submit all the required documents above.

 

* field is required

 

Personal Information  

*Name:

*Last Name:

  

*Date of Birth:

  

*Age:

  

*Country of Birth:

  

*Sex:

  

Marital Status:

Country of Residence:

Country of Citizenship:

Number of Children:

Weight:

Height:

Contact Information  

*Current Address:

  

Country:

  

Home Address:

Country:

*Home Telephone:

  

Work Telephone:

Cellular Telephone:

Email Address:

Other Contact Number:

Alternative Email Address:

Educational Attainment  

Diploma Achieved (i.e.. Bachelor's Degree in Nursing):

Year of Graduation:

*Name of College or University or High School:

  

Indicate Additional Care (child, elderly, special needs, disabled) related Education/Training/Courses:

*Indicate if you have obtained First Aid Certificate.

 

*Indicate if you have obtained CPR

  
.  

Additional Personal Information  

*Do you have any medical or health condition that can prevent you from doing your duties?

  

*Indicate your health in general:

  

*Indicate any allergies (i.e.. pets, foods etc.)

  

Do you smoke?

Are you currently on medication?

If yes, please indicate the reason for medication. 

Indicate if you are on a special diet.

If yes, please indicate the reason for special diet. 

*Have you every been treated for any alcohol abuse?

  

Have you ever been treated for any drug abuse?

  

Can you swim?

*Indicate all musical instruments you play.

  

*Indicate your hobbies and interests. 

  

*Indicate any sports that you are interested.

  

*Do you have a valid Driver's License?

  

If yes, indicate if you can drive either automatic or manual or both. 

How long have you been driving?

Do you have an International Driver's License?

Employment Experience  

Indicate your status in your country of residence.

Indicate the date of expiry of current status.
       

Current Employment

*Employer's Name:

  

*Your Position:

  

*Start Date of Employment:

  

*Expiry Date of Employment, if applicable:

  

*Indicate care provided (childcare, elderly, special needs).

  

*Indicate the ages of persons you are providing care when you started.

  

Duties and responsibilities:

  

Reason for Leaving:

  

    Previous Employment 1

Employer's Name:

Your Position:

Start Date of Employment:

Expiry Date of Employment, if applicable:

Indicate care provided (childcare, elderly, special needs).

Indicate the ages of persons you are providing care when you started.

  

Duties and responsibilities:

Reason for Leaving:

Previous Employment 2

Employer's Name:

Your Position:

Start Date of Employment:

Expiry Date of Employment, if applicable:

Indicate care provided (childcare, elderly, special needs). 

Indicate the ages of persons you are providing care when you started.

Duties and responsibilities:

Reason for Leaving:

If the space provided above is not enough. Kindly email your additional Employment History

Language  

*Do you have knowledge in the English language?

  

*Do you have knowledge in the French language?

  
Read English Write English Read French Write French
Speak English Listen English Speak French Listen French

Indicate other language spoken.

Additional Employment Information  

*Indicate your level of cooking skills.

  

Types of dishes that you can cook.

Indicate if you have knowledge of the following general appliances such as:
Vacuum Microwave Dishwasher Oven
Iron Washer Dryer Blender
Dishwasher Stove Rice Cooker Toaster

Additional Care Information  

Childcare

 

Do you have childcare experience?

Indicate how many years of childcare experience?
(Indicate the ages that you have experience in past employment, training or personal)
newborn 3 mth - 1 yr old 1 yr - 4 yr old 4 yr - 10 yr old
Teenager Twins Triplets Special Needs
Elderly Care  

Do you have elderly care experience?

Indicate how many years of elderly care experience?

Indicate the types of elderly care experience you had in your employment (I.e. Dementia, Parkinson's etc.)

Interview  

*What makes you a good care provider?

  

*Please indicate your strong points.

  

*Why should an employer hire you?

  

*Please tell us something about yourself.

  

Position Applying for  

Position Applying for:
Live In Nanny/Caregiver Live Out Nanny/Caregiver
Other 

For Part Time Live Out Only

Please indicate below your Availability/Schedule that you want.

Days and time

 

When are you available for interview?

When did you arrive in Canada?
What is your current status in Canada? (Work Permit, Student, visitor, Permanent Resident, Citizen)
When can you start working?

YOUR PREFERENCES


Please note that when you limit or restrict your options, the less chances of getting hired sooner.
For this employment, which do you prefer?
To take care of children
To take care of elderly
To take care of person with disability/special needs
Any
  Please explain your answers:
 
 

How did you learn about A - Class Nannies & Caregivers Inc? (Kindly choose the option that is applicable to you.)

Friend (Kindly enter your Friend's name.):

Internet Search (Kindly enter the Search Engine you used.): 

Telephone Directory (Pls. indicate the name of the directory.):

Internet Forum (Pls. indicate the name of the Forum.):

Others:
 

DECLARATION

• I authorize and consent A - CLASS NANNIES and CAREGIVERS INC. to verify the statements provided on this form and verify employment references without any liability arising thereof.
 

• I authorize and consent A - CLASS NANNIES and CAREGIVERS INC. to forward all my documents or personal information to prospective employers.
 

• I authorize and consent A - CLASS NANNIES and CAREGIVERS INC. to post my photos and profiles over their website at www.aclassnannies.com for employers and other visitors to see and review.
 

• Employment accepted through A - CLASS NANNIES and CAREGIVERS INC. would be subjected to source deductions from Canada Customs and Revenue Agency, which includes Canada Pension Plan, Employment Insurance and Federal and Provincial Taxes by their employers. And I understand that I will not be an employee of A - CLASS NANNIES and CAREGIVERS INC.
 

• I certify that all information and documents submitted to A - CLASS NANNIES and CAREGIVERS INC. is true, genuine, and correct to the best of my knowledge. That any false information or documents is considered MISREPRESENTATION and can be grounds for rejection of application.
 

• I certify and confirm that I was not coerced by A - CLASS NANNIES and CAREGIVERS INC. to submit false information or documents or any MISREPRESENTATION on this application. And in the event of any discrepancy and MISREPRESENTATION, I would be fully liable for this MISREPRESENTATION and I would absolve A - CLASS NANNIES and CAREGIVERS INC. and its agents of this actions.

 

Please click the SUBMIT button only once.