REGISTRATION CAREGIVER

CONTACT DETAILS
Mobile Phone Number*

Country CodePhone Number
Do you have WhatsApp?*

YESNO
WhatsApp Number (if different from Phone Number)

Country CodePhone Number
E-mail Address*

Confirmation Email
Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

REFERENCES RELATED TO CAREGIVING

Please fill out the contact details of your previous employer that can give you reference regarding your childcare experience.
Employer's Name & Surname*
Employer's Mobile Phone Number*

Area CodePhone Number
Employed from*
mm/yyyy
Employed till*
mm/yyyy
Provide details about your tasks, number of kids you took care of and their age:*

YOU ARE ALMOST DONE!
Where did you hear about SunnyNanny?*

FacebookBazarakiFriendGoogleOther
Date:...................................................

Place:...................................................

Signature:..............................................

Caregiver
Date:...................................................

Place:...................................................

Signature:..............................................

Director, SunnyNanny AU-PAIR AGENCY
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