Application
Babbysitting Application
Name:
Address:
DOB:
Phone:
Mobile:
Email:
Drivers Licence:
Yes-Full
Yes-Probationary
No
Licence number:
Qualifications:
Midwife
Nurse
Child Care worker
Nanny
Babysitter for 2+ years
Babysitter under 2 years
Availability:
Monday Evening
Tuesday Evening
Wednesday Evening
Thursday Evening
Friday Evening
Saturday Evening
Sunday Evening
Which of the following ages do you have experience:
Newborn
6-24 months
2-5 years
6-12+ years
Have you ever cared for twins or more:
Yes
No
Do you have a first aid or CPR certificate:
Yes-both
Yes-first aid
Yes-CPR
No
No but willing to get either
Do you have a current police clearance:
Yes
No
No but willing to get one
Do you have a working with childrens certificate:
Yes
No
No but willing to get one
Coments:
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