Job Application Form

Job Application Form

Welcome! Please complete this application to be considered for childcare opportunities with Willocks Care Co.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Driver's license
Upload your ID

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CPR/First Aid
Upload CPR/First Aid certificates

Drag files here
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Transportation
Do you have a personal vehicle for transportation?
Languages
Which languages do you speak?
How many years of childcare experience do you have?
What age groups are you comfortable working with?

Other
Please describe your childcare experience and any relevant qualifications
Days and times you are available to work
Would you like your caregiver to assist with: School pick-up/drop-off
Would you like your caregiver to assist with: Homework help
Would you like your caregiver to assist with: Children's meal preparation
Would you like your caregiver to assist with: Children's laundry
Would you like your caregiver to assist with: Light housekeeping
Would you like your caregiver to assist with: Activity transportation
Other certificates (optional)

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What is the desired pay?
Please answer one of the following
Applicants only need to answer one of the questions below.
What’s your go-to way to calm a child who’s having a tough moment?
What makes you a great nanny or babysitter?
What’s something kids love about you that surprises parents?
Final question
What is something youre looking to get out of Willocks Care Co?
May we conduct a background check?
Should be Empty:

Job Application Form

Please answer one of the following

Final question