Name: SA Cares
Price range: $$$

Username(Required)

Password(Required)

Name(Required)

First Last

I'm applying to be a(n)(Required)

Au pair

Baby sitter

Nanny

Tutor

Driver

Contact Number(Required)

Alternative number

Email Address(Required)

Date of Birth(Required)

Your Sex(Required)

Your ID Number(Required)

What area do you live in?(Required)

Please specify your area(Required)

What suburb do you live in?(Required)

Languages spoken(Required)

English

Afrikaans

Zulu

Xhosa

Sotho

Other

If you can speak another language, please specify(Required)

How many children do you feel confident caring for at one time?(Required)

Have you had any experience with differently abled children?(Required)

Please give details of your experience(Required)

How long are you able to commit to working with a family?(Required)

What date are you available to start working for a family?(Required)

What days of the week are you available to work?(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Please specify the times you are free to work

Monday - from(Required)

:

Monday - to(Required)

:

Tuesday - from(Required)

:

Tuesday - to(Required)

:

Wednesday - from(Required)

:

Wednesday - to(Required)

:

Thursday - from(Required)

:

Thursday - to(Required)

:

Friday - from(Required)

:

Friday - to(Required)

:

Saturday - from(Required)

:

Saturday - to(Required)

:

Sunday - from(Required)

:

Sunday - to(Required)

:

Do you have a matric certificate?(Required)

Tertiary Qualification(Required)

Please provide details of your tertiary qualification(Required)

First Aid Qualification(Required)

Child Care Qualification(Required)

Please provide details of your child care qualification(Required)

Teaching Qualification(Required)

Please provide details of your teaching qualification(Required)

Are you currently studying(Required)

Please provide details of your current studies(Required)

Do you have a driver's license?(Required)

How long have you been driving for?(Required)

Do you have your own roadworthy car?(Required)

Please provide the make and model(Required)

Do you smoke?(Required)

Do you agree to never smoke around the children you care for?(Required)

Yes

Can you swim?(Required)

Are you comfortable working in a household with pets?(Required)

Are you willing to cook for the children?(Required)

Are you willing to cook for the family?(Required)

Are you able to travel with the family?(Required)

Please indicate the level of homework you are able to assist with(Required)

Do you suffer from any emotional, personality or nervous disorders?(Required)

Please provide details(Required)

Are you looking to get paid hourly or monthly?(Required)

What monthly rate are you looking for?(Required)

What hourly rate are you looking for?(Required)

Please Provide The Details Of Three References Along With Contact Details And Job Descriptions

Reference 1

Reference 1 - Name(Required)

Reference 1 - Email address(Required)

Reference 1 - Contact number(Required)

Reference 1 - Job description(Required)

Reference 1 - Duration worked(Required)

Reference 1 - Duties & Responsibilities(Required)

Reference 1 - Reason for Leaving?(Required)

Reference 2

Reference 2 - Name(Required)

Reference 2 - Email address(Required)

Reference 2 - Contact number(Required)

Reference 2 - Job description(Required)

Reference 2 - Duration worked(Required)

Reference 2 - Duties & Responsibilities(Required)

Reference 2 - Reason for Leaving?(Required)

Reference 3

Reference 3 - Name(Required)

Reference 3 - Email address(Required)

Reference 3 - Contact number(Required)

Reference 3 - Job description(Required)

Reference 3 - Duration worked(Required)

Reference 3 - Duties & Responsibilities(Required)

Reference 3 - Reason for Leaving?(Required)

Please Provide The Details Of Two Character References Who Would Be Able To Comment On Your Personality, Characteristics And Work Ethic:

Reference 1

Reference 1 Name(Required)

Relationship to reference 1(Required)

Reference 1 - Email address(Required)

Reference 1 - contact number(Required)

Reference 2

Reference 2 Name(Required)

Relationship to reference 2(Required)

Reference 2 - Email address(Required)

Reference 2 - contact number(Required)

Compose a brief description (no more than 600 words) for the family about who you are, your personality, what you are able to offer them, why you would like to au pair for them(Required)

ID Document

Drop files here or

Max. file size: 5 MB.

Drivers license

Drop files here or

Max. file size: 5 MB.

Matric certificate

Drop files here or

Max. file size: 5 MB.

Your CV

Drop files here or

Max. file size: 5 MB.

Tertiary qualification (if applicable)

Drop files here or

Max. file size: 5 MB.

First aid qualification (if applicable)

Drop files here or

Max. file size: 5 MB.

Child care qualification (if applicable)

Drop files here or

Max. file size: 5 MB.

Teaching qualification (if applicable)

Drop files here or

Max. file size: 5 MB.

Proof of current studies (if applicable)

Drop files here or

Max. file size: 5 MB.

Police clearance (if applicable)

Drop files here or

Max. file size: 5 MB.

I understand that Jozi Cares cannot be held liable for any damage or loss that may arise as a result of the employment of a candidate through this agency and I have read and understand all the terms and conditions and agree to be bound by the contents thereof.(Required)

Yes

I understand that Pretoria Cares cannot be held liable for any damage or loss that may arise as a result of the employment of a candidate through this agency and I have read and understand all the terms and conditions and agree to be bound by the contents thereof.(Required)

Yes

I understand that Cape Cares cannot be held liable for any damage or loss that may arise as a result of the employment of a candidate through this agency and I have read and understand all the terms and conditions and agree to be bound by the contents thereof.(Required)

Yes

I understand that Coastal Cares cannot be held liable for any damage or loss that may arise as a result of the employment of a candidate through this agency and I have read and understand all the terms and conditions and agree to be bound by the contents thereof.(Required)

Yes

I understand that SA Cares cannot be held liable for any damage or loss that may arise as a result of the employment of a candidate through this agency and I have read and understand all the terms and conditions and agree to be bound by the contents thereof.(Required)

Yes

Please note that by submitting this form you are also agreeing to and accepting our Terms and Conditions. Please read through our Terms and Conditions before submitting this form.

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Detailed Child Carer Registration

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Reference 3

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