Employer Application Login Information: By entering a username and password, you can save your application and continue the process at a later time. In the future, you'll also be able to log in to our client area. * Username * Password Basic Details: * Address Apt/Suite * City * Province -- Select -- Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador North West Territories Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon * Postal Code * Email * Home Phone ()- Home Phone 2 ()- Fax ()- Nearest Subway Main Intersection Do both parents reside with the children?  Yes   No If no, please specify.  Mother   Father Mother's Information: First Name Last Name Occupation Email Work Phone ()- Father's Information: First Name Last Name Occupation Email Work Phone ()- Children's Information: Name Age Name Age Name Age Name Age Name Age Job Description: Start Date Live  In   Out Status  PartTime   FullTime Position -- Select -- Nanny/House Manager Nanny/Housekeeper Nursery Duty Nanny Expect to Pay $   -- Select -- Gross Net Monthly Weekly Overtime Paid?  Yes   No Start Time  a.m. End Time  p.m. Expected Duties: Child's Laundry  Yes   No Child's Bedding  Yes   No Family Laundry  Yes   No Family Bedding  Yes   No Child's Ironing  Yes   No Family Ironing  Yes   No Child's Cooking  Yes   No Family Cooking  Yes   No Child's Room  Yes   No Vacuuming  Yes   No Dusting  Yes   No Cleaning Bathrooms  Yes   No Sweeping Kitchen  Yes   No Washing Kitchen  Yes   No Any other housework tasks? (Please specify) Driving/Vehicles: Driver Required?  Yes   No Transmission -- Select -- Standard Automatic Both Will the nanny have use of the car after hours?  Yes   No Vacations: Paid vacations? (Please describe) Unpaid vacations? (Please describe) Is the nanny expected to accompany family holidays?  Yes   No If yes, where and how often? (Please describe) Ideal Candidate: Any preference in the nannys' age? No preference 18-25 26-35 35+ Do you mind if she has her own children?  Yes   No Qualifications Required? (Please describe) Previous Experience No preference 0-5 years 6-10 years 10+ years Swimmer Required  Yes   No Is a smoker OK?  Yes   No Social smoker?  Yes   No Any other specific requirements? (Please describe) Additional Information: Do you have a cleaning lady?  Yes   No If yes, how often does she come? -- Select -- Daily Weekly Bi-Weekly Monthly Do you have any pets?  Yes   No Will the nanny be required to attend to the pets?   Feed Pets  Yes   No   Walk Dog  Yes   No   Other Is there accommodation for the nanny?  Yes   No If yes, please describe:   Private Basement  Yes   No   Shared Basement  Yes   No   Television  Yes   No   VCR  Yes   No   House Phone  Yes   No   Private Phone Line  Yes   No   Other Amenities Do the children attend?   Nursery School  Yes   No   Junior Kindergarten  Yes   No   Senior Kindergarten  Yes   No   Mornings  Yes   No   Afternoons  Yes   No   Full Day  Yes   No Are the children's schools within walking distance?  Yes   No Are the children allowed on the subway?  Yes   No Are the children encouraged to socialize?  Yes   No Do you encourage other activities such as parks walks, trips to the zoo, etc?  Yes   No Are there any other restrictions?

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