Nanny and Caregiver Application We are looking for a qualified Home Support Worker and Home Child Care Provider . Are you a Home Support Worker OR Home Child Care Provider looking for Employment? Please fill in the following form and a representative will get back to you soon. For additional or a general inquiries, schedule a meeting or give us a call. Nanny Name Name First First Last Last Email Phone * Address State / Province / Region ZIP / Postal Code Country Gender * Male Female Marital Status * Single Married Single Mom Separated Widow Date of Birth MM/DD/YY * Number of your own children * Nationality * Year Graduated * Course Degree * College University Do you know how to swim? * Yes No Do you have basic 1st Aid training certificate? * Yes No Do you have Six (6) Months Live-in Caregiver Training Course? * Yes No If yes, from what school/institute? Do you have a valid driver's license? * Yes No Have you worked as a Live-in Nanny or Caregiver before? * Yes No If yes, in what country? How many children or number and ages of children when you started? Do you have an Elderly Care Experience? Yes No If Yes, please describe your duties. Do you have Childcare Experience? * Yes No If Yes, please describe your duties. Do you have Special Needs Experience? * Yes No If Yes, please describe your duties. Why do you want to work in Canada as a Live-in Nanny/Caregiver? * Do you have relatives living in Canada? * Yes No If yes, who are they and where do they live? Do you have friends working in Canada? * Yes No If yes, who are they and where do they live? When are you available to start working? * How did you hear about VNC Agency? If you are human, leave this field blank. Submit
