Application Form

Name: Last First Middle

Date of birth: Day Month Year

Nationality: Gender: Male / Female

Marital status: Please Circle One ( Single / Married / Widow / Separated / Divorced )

Contact Details:

Contact person

Contact number Ext. Other No.

Email address

Available by Day Month Year

Desired living arrangements ( In / Out ) Circle One if you have a preference

No. of years working in HK: Other Countries & No. of Years:

Education Level Please Circle One ( None / Primary School / High School / College )

Child Care Experience: ( No. Years )

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Time Coupons
<=7days 8
8 to 14 days 6
15 to 30 days 4
>30 days 2 Babies

Toddlers

Young Children

Teenagers

Tutoring & reading to children

Cooking Capabilities: Beginner Medium Very Good

Chinese Food

Western Food

Others:

Languages Spoken:

English

Cantonese

Mandarin

Others

Other Skills:

Elderly Care

Washing / Ironing

House Cleaning

Gardening

Pet Care

Driving

Reference Letter? Please Circle Yes No

What are you good at?

Comments and Other Abilities:

Remarks: Your resume and picture will be available on Amahnet.com within 2 days.