SA Nanny

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Care Worker Application

Name & Surname*:

Day Time Contact Number*:

E-Mail or Fax Number*:

Your Address*:

City*:

I would like to*:

Monthly Salary offered on a Placement:

Name/s & Age/s of Patients*:

Work Time: Start*:

Work Time: Finish*:

Work Days:
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Public Holidays

Estimated Duration of Services*:

I would like the Care Worker to*:

The Care Worker's Age*:

Duties & Requirements :
Have a Valid Driver's Licence
Have own reliable Vehicle
Take on outings
Prepare Meals
Do shopping
Light cleaning of the house
Give medicine
Assist with Bathing
Assist with going to the Toilet
Mobility Assistance

Rooms in the House to be Cleaned (for Domestics):

Domestic Chores:
Sweeping & Mopping Floors
Vacuuming
Dusting
Tidying
Dishes
Making Beds
Washing
Ironing
Watering Pot Plants
Feeding Pets

Additional Information & Requirements:

Do you require interviews?*:
Yes
No

Requested interview date:

Date for Services to start:

SA Nanny Service Agreement:

I  Read, Understood & Agree to be bound by the SA Nanny Service Agreement

I agree I do not agree

Read & Download the SA Nanny Service Agreement

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