What is Live-in Caregiver Program ?    
         
    FAQ    
    How much can I expect to make
What are my entitlements?
Do I get paid vacation ? 		   
         
    Apply here…    
    Online Application
Printable Application

    
   
 
 
 
     
 

Position you are applying for :  
Live-in/Live-out :  
Full time/Part time :  
Personal Information:
First Name*
   Last Name:*  
DOB
   Country of Birth :  
Nationality   Place of Residence :  
Sex: Male Female
Height  ft  inch    Weight :  lbs
Marital Status:   Number of Children
What is your status in Canada ?  
If you are a Canadian Citizen to go next section, otherwise answer the following questions:
What is your Nationality ?  
Are your legally allowed to work in Canada? Yes No
Education:
Highest level of education attained :
University/College:  Year Graduated :
Yrs.in Univ./College  Degree/Diploma/Certificate received:
Total number of years of education including elementary:  
Special Education:
Have you completed 6months full time Caregiver course: Yes No
Do you have any special training in Child care/Elderly care/Care for Disabled ?: Yes No
yes, please provide details :
Do you have any of the following certificates : CPR First Aid
Do you have any Nursing or Health related training : Yes No
If yes, please provide details :
List any special skills that you think might help you perform your duties well :
Language Skills :
List the languages you speak/read/write:
Language 1 :     Speak : Read: Write :  
Language 2 :     Speak : Read: Write :  
Language 3 :     Speak : Read: Write :  
Work Experience :
Tell us about your employment history, starting with the most recent one. Please make sure to include Name of the employer, country where you worked for this employer, your position, period of your employment (dates from/to) , reason for leaving, your responsibilities during your employment with this employer. If you were taking care of any children, please provide ages of the children, were there any pets in the household. If you were caring for a disabled person or elderly, please provide us with details as this will help us in finding you a suitable employer. We may ask you to provide us with employer telephone number later for reference check.
Employer # 1(Most recent)
Employer # 2
Employer # 3
Please answer the following questions :
Do you cook ? Yes No If yes, what kind?  
Do you drive Yes No If yes, do you have Driver License? Yes No
Can you swim? Yes No
Do you smoke? Yes No
Do you drink alcohol? Yes No
Can you take care of pets? Yes No If yes, what kind?  
Can you work on flexible schedule? Yes No
Can you work overtime if paid? Yes No
What are your Hobbies & Interests :
Do you have any Medical concerns? Yes No If yes, give details below:
Do you have any allergies? Yes No If yes, please provide details
Did you have any surgery done on you in the past 1 year? Yes No
Do you have any physical defects? Yes No
Have you ever been accused of theft? Yes No
Have you ever been convicted of a criminal offence? Yes No
Are you the subject of pending criminal charges? Yes No
Character References:
1. Name  Tel.# # of years known
Address  
Relationship  
2. Name  Tel.# # of years known
Address  
Relationship  
3. Name  Tel.# # of years known
Address  
Relationship  
Do you have any relatives or friends in Canada? Yes No
If yes, please provide us with details (optional) :
Can we contact them in case of Emergency? Yes No
Contact information:
CurrentAddress:*
  
City:*  
State/Province :  
Zip/PostalCode:  
Country :*  
Phone Number:*  
Fax Number :  
E-mail:*  
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, Past Employment, Criminal record, knowledge, capabilities and reputation. I understand that MAGNUS Resources is a referral agency and not an employer. I understand that the submission of this application for employment will not guarantee me an employment.
Name: Date:  
Before submit this application please make sure to check the information entered here for any correction. Once submitted application cannot be retrieved. Any information submitted on this site is property of Magnus Resources and will be used only for the purpose it was submitted.
         



 
  Copyright © 2007 Magnus Resources. All rights reserved.  
Member of