Worldwide Nannies

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Worldwide Nannies

Elaine Olson
Abbotsford, BC
1 (604) 556-3978
Fax: 1 (604) 556-3970
info@worldwidenannies.ca

Elsewhere in Canada:
1 (866) 292-2132

Address
E-Mail address:

Date of birth	day: month: year:
Place of birth
Nationality
Marital Status	Single Married	Widowed Divorced
Age of Dependants
Do you have a valid passport? Yes No
U.S. Visa? Yes No

Name, address and telephone number of next of kin:
How many brothers and sisters?
Their ages
Parents Occupations:
Mother
Father
Name and address of friend or relative living in Canada: (International applicants ONLY)
EDUCATION
Year
Name and address of school
Degree or diploma
Languages:
Spoken
Written
Height (cm)
Weight (kg)
Do you have allergies? Yes No
X-Rays taken? Yes No
Have you had any serious illnesses in the last two years? Yes No
If yes, please describe:
Describe physical or health limitations which might affect your ability to care for children and/or a household:
CANADIAN DOMESTIC APPLICANTS ONLY: All questions on this application are to be answered ONLY if comfortable answering and are optional. HOWEVER, please keep in mind that your employer will like to know as much as possible about you as they are entrusting their most precious possessions to you... THEIR CHILDREN
INTERNATIONAL APPLICANTS ONLY: Please make certain that the telephone number includes ALL numbers necessary to telephone you from CANADA.