MAGNUS Resources



		Family Registration

		Hiring Process

		Client's Comments

		Live-in Caregiver Program

		Business Number

Thank you for choosing to register with us. We assure you our best efforts in finding a best nanny for all your family needs. Please check out our hiring process page to learn more…

You can apply by filling out our Online Application and submit. Please make sure to check all the information provided on the application is correct before pressing submit button.

Alternatively you can print our application and fax it to us at +1 905 901 4676. You need Adobe Reader version 6.0 or higher to view and print our Printable Application. Adobe Reader can be downloaded from their website for free. Please press here to download

Personal Information:

First Name:*

Last Name:*

Spouse Name:*

Last Name :*

Street Address:*

City :*

Province:*

Postal Code : *

Telephone :*

Email :*

Applicant

Spouse

Profession :

Place of work :

Work Tel.#

Information about Children:

First Child:

Name:

Age:

Activities :

Special Interest or Concern :

Second Child:

Name:

Age:

Activities :

Special Interest or Concern :

Third Child:

Name:

Age:

Activities :

Special Interest or Concern :

Fourth Child:

Name:

Age:

Activities :

Special Interest or Concern :

List below if you have any more members in the household:

List below if you have any pets :

Housekeeping Information :

Do you have Housekeeper, Cleaning Service or Yard Maintenance ?

Yes

How often :

time per

Do you expect this to change with arrival of your Caregiver?

Yes

Please list below the housekeeping/kitchen and other duties beside children :

Please list below any specific qualifications your prospective Caregiver must possess:

Type of Home:

No. of rooms :

No. of floors

Accommodations & Privileges for Caregiver (incase of live-in):

Private Bedroom:

Yes

Private Bathroom :

Yes

Separate level from the family :	Yes	No
Access to own telephone:	Yes	No
Access to own television:	Yes	No

Position to start on :		Full Time		Part Time
		Live-in		Live-out

Number of hours
per day

Salary offered

Is this the first time you are hiring a Nanny/Caregiver?

Yes

If no, when did you last time hire a Nanny/Caregiver? (MM/YY)

How long did the Nanny/Caregiver work for you and your family? (MM/YY)

Reason for leaving?

References (non-relatives):

Name

Telephone No

Relationship

Name

Telephone No

Relationship

BY SUBMITTING THIS application, I agree that the information provided by me on the Questionnaire/Application is true to the best of my knowledge. I understand that MAGNUS Resources may conduct a reference check. The Reference check including information regarding Character, Employment, Criminal record and reputation. I understand that MAGNUS Resources is a referral agency and not an Candidate /employee or agent of prospective Candidate/employee. I understand that the submission of this application will not guarantee me a Nanny/Caregiver for employment.

Name:

Date:

Best time to contact you: