Gender |
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First name |
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Last name |
* | |
Address |
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City |
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Post code/Zip |
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Country |
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Telephone |
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Cellphone/Mobile/Handy |
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Your email address |
* | |
Please confirm email address |
* | |
Website address (if any) |
http:// | |
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Country of residence if different than home address |
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Date of birth (age) |
* | |
Religion |
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Do you practise your religion |
No Sometimes Yes | |
Nationality (Passport) |
* | |
What is your native (Mother tongue) language |
* | |
Any other languages |
1: 2: 3: | |
Are you smoker |
* | Yes Social No |
Can you swim |
* | Yes No |
Do you have any medical or allergy problems |
* | |
Can you produce a health/medical report |
Yes No | |
Education |
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Childcare related qualifications/experience |
* | |
Other certificates (ie CPR, First Aid, Life guard...) |
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Hobbies |
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Are you a driver |
* | Yes No |
Can you cook |
* | Yes No |
Are you happy to do housework if required |
* | Yes No |
Please give details of holiday |
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Are there any type of pets that you can't tolerate |
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Previous employers |
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Can you obtain police clearance to confirm |
* | Yes No |
How would you describe yourself |
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Do you want to live with the family |
* | |
Which country do you want to work in. |
* | |
Any specific city or location |
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For how long |
* | |
Minimum salary required per month |
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Start date |
* | |
By submitting this information I hereby |