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?