Edmonton Nanny | Nanny Calgary | Nanny Toronto | Nanny services in Edmonton, Toronto and Calgary Nanny | Preferred Personnel of Canada Inc

If you would like to hire an eldercare caregiver, please fill out our Eldercare Application Form below

If you have questions about hiring a childcare nanny, please read our FAQ (Frequently Asked Questions) – Hiring an Eldercare Caregiver.

If you have questions that are not addressed in the FAQ, or you require additional information, please contact us and we will be happy to assist you.

Salutation

First Name

Last Name

City

State/Province

Title

Phone

Mobile

Fax

Street

Postal Code

Country

Date of Birth

Marital Status

Email Opt Out

Fax Opt Out

Do Not Call

Lead Record Type

Have you previously hired a caregiver?:

Additional help employed (cleaning, etc)

Additional info on your lifestyle, etc.

Appliances to be used

Average hours of work per day

Concerns, diet, allergies, disabilities

Days off per week (SatSunFlex)

Description of caregiver's duties

Description of home (Size, # of rooms)

Distance to Public Transportation

Distance to Shopping

Is Your Home Urban, Suburban, or Rural?

Is a driver required for this position?

Is this a smoke-free environment?

Languages spoken in home (Eng/Fr/Other)?

Medical Information

Monthly Salary

Other persons in home?

Are there any pets in the home?

Please describe any pets in the home

Type of care required for your pet

Revenue Canada Business Number

Do you have a Revenue Canada business number for a Domestic Helper?

Room and Board Charge

Size of home

Type of accommodation provided

When is help required?

Who did you find helpful at preferred?

How did you hear about Preferred Personnel?

Whom is care for?

Will an insured vehicle be provided?

Will caregiver require her own vehicle?

Will you require 24-hour care?

Work Day End Time

Work Day Start Time

Hire an Eldercare Caregiver