New Applicant Registration Form
Applicant Details:
Full Name
*
First Name
Last Name
Birthdate
*
Age
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (0000) 000-0000.
E-mail
example@example.com
How did you hear about us?
*
Please Select
Facebook
Referral
Names of people who referred you.
Rows
Full Name
Address
Contact Number
1
2
Religion:
Marital Status:
*
Height:
*
Weight:
*
Name of Father:
*
Occupation:
*
Name of Mother:
*
Occupation:
*
Name of Spouse:
*
Occupation:
*
No. of Sisters:
*
No. of Brothers:
*
Pang-ilanka sa magkakapatid:
*
Age & No. of Children:
*
College (name of school):
*
Course:
*
Year Graduated/last attended:
*
High School (name of school):
*
Year Graduated:
*
Elementary (name of school):
*
WORK EXPERIENCE 1
Type a question
Name of Employer:
*
Years Stayed: (Month & Year)
*
Location:
*
Salary:
*
Number of Family Served:
*
Size of the Employer House:
*
Reason for leaving:
*
WORK EXPERIENCE 2
Name of Employer:
*
Years Stayed: (Month & Year)
*
Location:
*
Salary:
*
Number of Family Served:
Size of the Employer House:
*
Reason for leaving:
*
Please check your duties:
*
Care of new-born babies
Care of young children
Care of elderly
Care of disable
House cleaning
Doing the laundries
Car Washing
Ironing
Chinese Food
Western Food
Middle Eastern Food
Filipino Food
Duties I Can Do Best - Please rate the job. Care of new-born babies:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Care of young children:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Care of elderly:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Care of disabled:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Care of pets:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. House cleaning:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Cooking:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Doing the laundry:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Gardening:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Ironing:
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Duties I Can Do Best - Please rate the job. Tutoring of children (English and simple homework):
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Do you smoke?
*
YES
NO
Do you drink alcohol?
*
YES
NO
Can you drive?
*
YES
NO
Do you eat pork?
*
YES
NO
Living with elderly person?
*
YES
NO
If your holiday is not on Sunday, do you agree?
*
YES
NO
Would you agree to do extra work?
*
YES
NO
Are you willing to take care of children no matter how many the family has?
*
YES
NO
Are you willing to work for a family without your own servant room?
*
YES
NO
If your employer asked you to work on your holidays and willing to pay as compensation, are you willing to do so?
*
YES
NO
Do you got experience to take care of dogs or Pets?
*
YES
NO
Are you willing to take care of big dogs/ big pets?
*
YES
NO
Are you willing to take care of elderly, help them to take a bath, change diaper, help them to go to toilet and accompany to the hospital？ Grandpa
*
YES
NO
Are you willing to take care of elderly, help them to take a bath, change diaper, help them to go to toilet and accompany to the hospital？ Grandma
*
YES
NO
Submit
Should be Empty: