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Варшавское шоссе, 1/6, офис 416
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Name (as in passport)
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Имя
Фамилия
Age
*
Date of birth:
*
Place of birth:
*
Nationality:
*
Address:
*
Marital Status:
*
Number of kids:
*
Age of kids:
*
Your height
*
(cm)
Your weight
*
(kg)
Passport number:
*
Passport expiry:
*
College/school:
*
From Year
*
to Year
*
English
*
(fill with “high”, “medium”, “low” level or “none”)
Spanish
*
(fill with “high”, “medium”, “low” level or “none”)
Chinese
*
(fill with “high”, “medium”, “low” level or “none”)
Others
*
(fill with “high”, “medium”, “low” level or “none”)
Have you attended any other training?
*
Yes
Caregiver Course / Nursing Aid Course / Nursing / Assistant Course First Aid or CPR / Cooking / Baking / Computer / Others
Specify
*
From
*
To
*
Specify
From
To
Country
*
Position (JOB)
*
Nationality of the employer
*
Number of persons:
*
Number of kids:
*
Age of kids:
*
Responsibilities (cross if not applicable)
*
Cooking
Washing
Ironing
Looking after Children
Toilet Assisting
Wheel Chair
Patients daily needs
Medicine
Shopping
Garden Works
Cleaning
Dipper Changing
Putting Catheters
Assisting to Dressing
Feeding
Bathing
Country
Position (JOB)
Nationality of the employer
Number of persons:
Number of kids:
Age of kids:
Responsibilities (cross if not applicable)
Cooking
Washing
Ironing
Looking after Children
Toilet Assisting
Wheel Chair
Patients daily needs
Medicine
Shopping
Garden Works
Cleaning
Dipper Changing
Putting Catheters
Assisting to Dressing
Feeding
Bathing
Country
Position (JOB)
Nationality of the employer
Number of persons:
Number of kids:
Age of kids:
Responsibilities (cross if not applicable)
Cooking
Washing
Ironing
Looking after Children
Toilet Assisting
Wheel Chair
Patients daily needs
Medicine
Shopping
Garden Works
Cleaning
Dipper Changing
Putting Catheters
Assisting to Dressing
Feeding
Bathing
Country
Position (JOB)
Nationality of the employer
Number of persons:
Number of kids:
Age of kids:
Responsibilities (cross if not applicable)
Cooking
Washing
Ironing
Looking after Children
Toilet Assisting
Wheel Chair
Patients daily needs
Medicine
Shopping
Garden Works
Cleaning
Dipper Changing
Putting Catheters
Assisting to Dressing
Feeding
Bathing
Country
Position (JOB)
Nationality of the employer
Number of persons:
Number of kids:
Age of kids:
Responsibilities (cross if not applicable)
Cooking
Washing
Ironing
Looking after Children
Toilet Assisting
Wheel Chair
Patients daily needs
Medicine
Shopping
Garden Works
Cleaning
Dipper Changing
Putting Catheters
Assisting to Dressing
Feeding
Bathing
Type of Religion
*
Do you swim?
*
Do you have any allergies?
*
What do you like to do during your free time?
*
How long do you want to work in the Family?
*
Do you accept that you have to work with your employer at least one year?
*
Are you prepared to run the house without supervision of employers?
*
When are you available to start working in Russia?
*
Do you like to take care of pets?
*
Are you willing to do all the household chores?
*
Do you know how to cook Western Meals?
*
Do you have CPR or First Aid knowledge?
*
Are you willing to take care of infants or babies?
*
Are you willing to stay in the house with a pet?
*
Are you willing to work for single parent?
*
Are you willing to sleep besides the baby?
*
Do you have any physical defects?
*
DESCRIBE YOURSELF AND YOUR SKILLS:
*
JOB LOOKING FOR
*
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