Child Care Application



Contact Number (required)

Email (required)



Are you willing to work in the following in the above areas?


Please enter the date that you'll be available.

Personal Information


Your Name (required)

Address


How many children do you have?


Please give the ages of your children



What is your status here?

Experiences and Preferences


Education

Activities


Check the activities that you enjoy doing with children.


Infant (0-16 months)Pre-School (3-5 years)Toddler (17 months to 3 years)School Age (6 years and up)


YesNo


YesNo


ChildrenElderly


Full-timePart-timeCasual/On-call


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo


First Aid TrainingCPR TrainingPolice Background Check

General Information


Driving Record


PoorAverageGoodExpert


AmericanEuropeanChineseOther


YesNo


YesNo


EnglishTagalogIlocanoVisayanCantoneseMandarinSpanishOther

English is the major language in here. On a scale of 1 to 10, how do you rate your abilities:





Employment History



YesNo


YesNo


YesNo

Please answer the following questions briefly

Behaviours

Some common annoying behaviours are listed below. Please indicate on how the behaviour affects you, and explain how you handle this type of behaviour.

Yelling

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Running in the house

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Playing with food

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Throwing toys

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Crying for parents

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Saying no to everything

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Refusing to eat certain foods

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Insisting on helping you with everything

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Wanting to do things their own way

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Refusing to help clean up

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Removing diapers

Doesn't annoy meAnnoys me a littleAnnoys me a lot

Do you agree to send the above information?