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Contact Information
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To view, Please  or 
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Background Information
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| Have you ever been arrested or convicted of any offense? | No |
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Family Information
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| Do you have children? | Yes |
| If your children will accompany you, please list their ages: | |
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Citizenship Information
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| Nationality: | Dutch |
| Country of Residence: | US |
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Health Information
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| Weight: | 137 |
| Height: | 5' 8" |
| Do you smoke? | No |
| Are you currently under any doctor’s care, receiving counseling or have any physical, mental or medical impairments which would interfere with your ability to perform the job? | No |
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Skills Information
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| What is your level of education? | Some College but Non-Graduate |
| Languages | English |
| Do you have a valid drivers license? | Yes |
| Can you swim? | Yes |
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Employment Information
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| Preferred Weekly Salary: | 400 - 500+ |
| Position Duration: | Permanent / Full-time |
| When are you available to start?: | Start Date Is Flexible |
| You would prefer to live: | Either Live-in or Live-out |
| Preferred States: | IL |
| You would be willing to care for the following ages: | |
| You can care for the elderly: | Yes |
| Elder/Companion Care Experience: | No formal/paid experience however have done volunteer work with Meals on Wheels. |
| Available for special needs: | Disabilities, Twins/Multiples |
| Do you have a car to bring to the job? | Yes |
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Availability Information
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| Early Morning (6a-9a) |
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| Late Morning (9a-12p) |
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| Early Afternoon (12p-3p) |
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| Late Afternoon (3p-6p) |
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| Early Evening (6p-9p) |
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| Late Evening (9-12) |
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| Overnight (12a-6a) |
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| Why do you want to become a nanny? |
| I have always found great personal reward in being around children. A nanny position meets my need to work while allowing me to do what I truly enjoy. |
| Describe your past childcare experience: |
| I have raised three children of my own and actively participated in their activities. This includes coaching baseball, softball & soccer. I also served as a Den Leader for Cub Scouts. |
| Additional Comments: |
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