081 710 6769
enquiry@sananny.co.za
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Job Applicant Form
Personal Details of Applicant
First Name
*
First
Last Name
*
Last
Known as
The Name you go by
RSA 13 digit ID or Passport no.
Country
IF you are a foreigner
Work Permit or Asylum Reference number
Please check that your permit has not expired
Your Current Age
How old are you now?
Permit Expiry Date
Date Format: MM slash DD slash YYYY
When will your Valid Permit expire?
Your Gender
Select
Female
Male
Your Date of Birth
Date Format: MM slash DD slash YYYY
Police Clearance
No
Yes
Indicate if you have a recent Police Clearance Certificate?
Clearance Certificate Reference no.
Add your Reference Number
Languages
Language
Please Select
Afrikaans
English
Ndebele
Northern Sotho
Sesotho
Swazi
Tsonga
Tswana
Venda
Xhosa
Zulu
SA Sign Language
What languages can you Speak & Understand
Language Comments
Tell us more about your ability to speak or understand the Languages you listed
Afrikaans
No
Understand
Yes
English
No
Understand
Yes
Zulu
No
Understand
Yes
Sotho
No
Understand
Yes
Tswana
No
Understand
Yes
Your Culture
Are you part of a particular Cultural group?
Religion or Religious believe
Your Faith & Denomination, if any
Contact Details
Your Main Contact no
*
Your Home or Other Contact no
Next of Kin or Family member's name & relationship
Name
i.e. John, brother
Your Next of Kin's Contact no
Other Contact
Name
Other Contact no
Email
Other Email
Address - where you live
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Your other Address (IF you have one)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
What Services Can You Provide?
Services
(Select ALL the Services you are qualified & are available for)
Child Care
Au Pair (you have your own car)
Course
No
Yes
Experience
No
Yes
Child Care (Day or Night Nanny)
Course
No
Yes
Experience
No
Yes
Tutor / Teacher
Course
No
Yes
Experience
No
Yes
Domestic Care
Domestic
Course
No
Yes
Experience
No
Yes
Housekeeper
Course
No
Yes
Experience
No
Yes
Cook
Course
No
Yes
Experience
No
Yes
House & Pet Sitter
Pet
House
Course
No
Yes
Experience
No
Yes
Elderly Care
Caregiver (incl Ancillary & Auxiliary Nurses)
Companion
Course
No
Yes
Experience
No
Yes
Nurse (Enrolled, Staff or Professional)
Enrolled Nurse
Professional Nurse
Staff Nurse
Course
No
Yes
Experience
No
Yes
General
Driver
Course
No
Yes
Experience
No
Yes
Qualifications & Work Experience
Your Qualifications
Please Add a maximum of 5 in this order: Course Name Training Institutions Name Duration Year Completed Contact Tel.
Your Work Experience & References
Please Add a maximum of 5 in this order: Customer Name Your Position Duration Year to Year Contact Tel.
CV & Documentation
File
File
File
File
Work Preferences & Requirements
Work-Living Arrangement
(Please choose your work arrangement/s you prefer)
Live-out
(I can travel to work every day)
Live-in
(I can live at the customer, during the work week)
Availability Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Public Holiday
(Select the days you are able to work in a week)
Available Work Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Public Holidays
Select all the days you can work during a week
(Only enter IF you can only start or must finish at a specific times)
Start Time
:
HH
MM
Finish
:
HH
MM
Your Monthly Rate
Minimum Expected Monthly Rate
What is the lowest amount per month you will accept for a job?
Start Date
Date Format: MM slash DD slash YYYY
When can you start working?
Dream Job Description
Short description of your dream job - you are applying for!
Comments
Any other information which is important for us to know, to assist you with a possible placement
*
Select All
I agree to the SA Nanny Care Worker Code of Conduct
I have read & agree to the Calo Consultants t/a SA Nanny’s Terms & Conditions
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