ABLE NANNIES AND CAREGIVERS LTD.

#4-514 Sixth Avenue

New Westminster, BC, Canada
V3L 1V3
Tel: 604 540 7453
Fax: 604 540 7459
Email: ablenannies@telus.net
OVERSEAS APPLICATION FORM FOR EMPLOYMENT IN CANADA
You are about to complete an application form for employment in Canada. Future
employers will compare your application form for employment in Canada with other
applicants therefore be sure to write clearly and answer all questions to the best of your
ability. This is your first opportunity to make an impression with your future employer so
please take the time to complete the form.
PLEASE REMIT THE FOLLOWING INFORMATION AT THE TIME YOU
SUBMIT YOU APPLICATION:
3. One 5x7 color photo with yourself and children (if you care for the elderly thats okay)
One 8x10 color photo of yourself and children, remember smiling photos are best!
4. Reference letters from your current and previous employers. If your employer is
unwilling to provide a letter please provide a telephone number so we can verify you
references.
5. A two page, hand written letter from you describing what a Typical workday is like for
you. As well tell us why you would like to work in Canada. Please give us exact details
of your working experience. This is your opportunity to sell yourself to a potential
employer so please be neat and very detailed, use more pages if you like.
6. A copy of your passport and current working contract or permit.
7. A copy of your high school and post secondary school transcripts and diplomas.
8. Copies of any certificates that are related to your position.

**REMEMBER TO ONLY SEND PHOTO COPIES TO OUR OFFICE, KEEP

YOUR ORIGINALS FOR YOUR PROCESSING WITH THE EMBASSY**
NAME: LIWAYWAY P
TAYAG___________________________________________________________
MAILING ADDRESS:_______________________________________________
EMAIL:_Whayders28@yahoo.com______________________________
TELEPHONE #:+85296614012_______________________FAX
#________________________
MOBILE #___________________________
NAME AND ADDRESS AND TELEPHONE NUMBER OF YOUR PRESENT
EMPLOYER:______________________________________________________

PRINT CLEARLY WITH BLACK INK

ABLE NANNIES AND CAREGIVERS LTD.
#4-514 Sixth Avenue
New Westminster, BC, Canada
V3L 1V3
Tel: 604 540 7453
Fax: 604 540 7459
Please complete and return this application to the above address:
All foreign live in caregivers must work full time live in:
Date of Application:____________________________
Are you willing to work in the following areas:
9. Rural:__yes_______________
10. City:__________________
11. Small Town:___________
When are you available for work:_________________ Do you have any previously
planned holidays prior to commencing employment in Canada?_______________If yes,
how long?________________
PERSONAL INFORMATION:
FULL NAME:_LIWAYWAY P
TAYAG________________________________________________________
DATE OF BIRTH:SEPTEMBER 28 1981______________________________CURRENT
AGE:_29 YRS OLD________
NATIONALITY:_FILIPINO_________________________PLACE OF
BIRTH:_ROSARIO LA UNION____________
LANGUAGES WRITTEN AND
SPOKEN:_ENGLISH,FILIPINO,TAGALOG,KAPAMPANGAN,ILOCANO___________
______________________
HEIGHT:5"3_____WEIGHT:_120LBS_____MARITAL
STATUS:__SINGLE___________DO YOU HAVE
CHILDREN:__NO______________AGES OF YOUR CHILDREN:_________________
NUMBER OF SIBLINGS:___8____WHERE ARE YOU IN THE BIRTH ORDER:_8____
DO YOU SMOKE:__NO____IF YES, HOW MANY PER DAY:__________DO YOU
DRINK ALCOHOL:___NO_________HOW FREQUENTLY:______________________
DO YOU HOLD A VALID DRIVERS LISCENSE:_____NO____________IF YES, FOR
HOW LONG HAVE YOU DRIVEN?______________IF YES, PLEASE PROVIDE A

PHOTO COPY. CAN YOU DRIVE A STANDARD CAR:_____________HAVE YOU

HAD ANY ACCIDENTS WITHIN THE PAST
YEAR:_____NO_____________________
HAVE YOU HAD ANY ILLNESS, PHYSICAL OR MENTAL IN THE PAST
YEAR:_____NO____________ARE YOU CURRENTLY UNDER MEDICAL
TREAMENT:_____NO______________IF YES, PLEASE STATE
NATURE:___________
ARE YOU PREPARED TO WORK FOR A FAMILY WHERE EITHER PARENT
WORKS FROM HOME:______YES________ARE YOU WILLING TO WORK FOR A
SINGLE PARENT:___YES________DISABLED CHILD OR
ADULT:___YES________THE ELDERLY:__YES______________WHAT IS YOUR
RELIGIOUS DENOMINATION:___CHURCH OF CHRIST__________IS THERE ANY
THING YOU DO NOT WISH TO DO IN YOUR FUTURE
POSTION:___NO______________LIST ANY TALENTS OR HOBBIES:____PLAYING
GUITAR,VOLLEYBALL..CHATING.._________________________________________
______________
EDUCATION INFORMATION:
SCHOOL LAST ATTENDED:_EAST CENTRAL
COLLGES________________DIPLOMAS OR DREGREES ACHEIEVED:_COLLGES
GRADUATE AB PSYCHOLOGY__________________YEAR OF
GRADUATION:_MRCH 2003_____________
DO YOU HAVE A FIRST AID CERTIFICATE:____________DO YOU HAVE ANY
OTHER COURSES THAT WOULD BE JOB RELATED:______________________
WORKING EXPERIENCE:
HAVE YOU TAKEN CARE OF:
DO YOU KNOW HOW TO:
BABIES UP TO ONE YEAR:________
USE A MICROWAVE:____
CHILDREN 1-5 YRS:______________
USE A DISHWASHER:____
CHILDREN 6-12 YRS:_____________
IRON:_____LAUNDRY:___
DO YOU SWIM:________HOW WELL:
____________
PREPARE WESTERN MEALS:______GIVE EXAMPLES:_______________________
CHECK ACTIVITIES YOU ENJOY WITH CHILDREN:
ART WORK AND COLORING:_________________CRAFTS:_____________
STORY TELLING:____________________________PUZZLES:____________
READING BOOKS:___________________________SWIMMING:__________
BALL GAMES:______________________________RAQUET GAMES:______
WALKS OR HIKES:__________________________BIKE RIDING:_________
WHAT DO YOU PREPARE FOR CHILDRENS SNACK FOODS:____________

___________________________________________________________________
TELL US ABOUT YOUR FAMILY:

WHAT OCCUPATION DID YOU WORK AT BEFORE BECOMING A NANNY:

WHAT ACTIVITIES DO YOU ENJOY IN YOUR FREE TIME:

EMPLOYMENT HISTORY:
Please begin with your most recent employer:If more space is required please use back
side of page dont leave any employers off.
Employers Name:____________________Telephone #:_______________
Date Employment Began:_____________Last Day of Work:___________
Your Position:_________________Ages of children when you began:____
List Main Duties:______________May we contact this employer:________
Reason for Leaving:____________________________________________
Employers Name:____________________Telephone #:_______________
Date Employment Began:_____________Last Day of Work:___________
Your Position:_________________Ages of children when you began:____
List Main Duties:______________May we contact this employer:________
Reason for Leaving:____________________________________________
Employers Name:____________________Telephone #:_______________
Date Employment Began:_____________Last Day of Work:___________
Your Position:_________________Ages of children when you began:____
List Main Duties:______________May we contact this employer:________
Reason for Leaving:____________________________________________
Estimate your English Fluency: Limited ( ) Good ( ) Fluent ( )
What is your exact termination date of your work visa:___________________________
Will your employer be willing to extend if necessary:_______If yes, please notify us.

Are you willing to learn to drive in Canada:__________________________________

Do you have any friends or relatives in Canada?______________If yes, what are their
names and where do they live?_____________________________________________
If there is further information you would like to provide our agency pertaining to this
application, please feel free to enclose it with the application.
I hereby swear that the above information is correct and authorize Able Nannies to verify
any and all information.
________________________
Signature

_____________________
Date